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",.. <br />• SENDER: <br />p Complete items 1 and/or ~ for eddilianal services. I a150 Wieh t0 reeelve thB <br />m • Complete items 3, and 4a & b. fOlOWing Services (for an extra d <br />N Print your name antl atldress on the reverse of this form so that we can V <br />d return this cartl to you. f eel' ~ <br />• Attach this loan to the front of the mailpiece, or on the back it space 1. ^ AddreSSee'S AddfesS y <br />tloes not permit. <br />m Write"Return Receipt Reques+etl"on the mailp~ece below the article number, 6 <br />2. ^ Restricted Delivery <br />• The Return Receipt will show to whom the an¢le was tleliveretl and the date m <br />e delwered Consul[ postmaster for fee. m <br />v 3. Article Addressed [o: •'• 14a. Article Number ~ <br />E ~r~~~s D~~~~ ~QrrPy ~~7 ~,, ~ P .~~~ sz~ D3~ <br />4b. Service Type ~ <br />p ^ Registered ^ Insured <br />PD B~>< 1,49 <br />Certified ^ COD ~ <br />o (~aoefq~ ~o FlY~& <br />O <br />a <br />~ 5. Signature (Addressee) <br />7 <br />H <br />6. ~ nature ( ge~nt1 <br />7 ~ - <br />a P orm 11, Decemb r 1991 <br />^ Express Mail ` ^ Return Receipt for ~ <br />Merchandise <br />7. Date of Deliv `/' w <br />T <br />8. Addressee's Address (Only if requested y . <br />and fee is paid) ~ <br />m <br />f <br />nu.s.oPO:+oaa-ax}ax DOMESTIC RETURN RECEIPT <br />