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iii niiuiiiiiu iii <br />SENDER: ~ I aiso wish to receive the <br />Complete items 1 end/or Z for edditiongl ffrvicef. <br />• Complete itemf 3, end 4e & b. following services (for en e><trB <br />• Print your nema end fddreae on the reverse of thif form sa that wa can }Bed: <br />return this certl to yw, ' <br />• Attach thif loan to the front o/ the mgilpifcf, or on the beck if apace 1. ^ Addressee's Address <br />dove not permit. <br />• Wdte"Return Receipt Reeuerted"on[hemeilpiece below the frticle number. 2. ^ ReStrlCted Delivery <br />• The Return Receiptfa0 win provide you the aisn•tura of the person delivare <br />to end the date of dfiiverY~ Consult postmaster for fee. <br />3. Article Addressed to: }, 4a. l~ttic~ Numbe ~ /~~ <br />4b. [``SUJervice Type <br />^ Registered ^ Insured <br />a9s ~ ~ ~ ~~7 Certified ^ COD <br />5~ ~~~ ^ Express Msil ^ Return Receipt for <br />Merchan i e <br />r ~~~~ ~ 7. Date of Deli ~ ty., r~ <br />6 v'7 ~ r / <br />Signature <br /> <br />8. Addressee's Address (Only if <br /> <br />