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SENDER: <br /> Complete items 1 end/or Z for edtlitionel services. I Blso wish t0 rOCBive the <br />° • Complete i(ems 3, and 4s 6 b. fOIOWIng 96fviCBS (for bn B%[r8 9 <br />~ • Print your name entl edtlrees on (ha reverse o/ this lorm so that we can <br />hi fBBI: t <br /> return t <br />s card to you. <br />• Attach this form to the }rant of the meilplece, or on tha back R specs <br />1. ^ AddrBeeBO'9 AddrBSe <br />r tloee not permit. <br />• Write"Ret <br />il <br />i <br />R <br />i <br />t Re <br />ee <br />d" <br />ih <br />l <br />th <br />rti <br />b <br />l <br />b r <br /> urn <br />acs <br />p <br />pu <br />on <br />s me <br />p <br />aca <br />ow <br />a a <br />(e <br />e c <br />e num <br />er. 2. ^ RBStrICtOd DBIIVBry Y <br /> • The Return Rscelpt will show to wham the article was dslivsre0 end the tlsta <br />e asiivar•tl. Consult oatmester for fee. <br /> 3. Article Addressed to: 4e. Article Number ~ <br /> ~ 1T- <br />~ <br />~ <br />~ <br />! P l 7~ ~ ~6 K ~ <br /> / <br />( <br />l ~ <br />' <br />' 4b. Service TYPe <br />^ <br />^ ° <br /> ~m/7 aft p~ <br />~ZO ~r / <br />C <br />t Registered <br />Insured ~ <br /> ( <br />' ~ertified ^ COD .G <br /> / <br />/ <br />/ <br />G('LIIIG( J(,(nl~~K/ `~ ~~5~~ ^ Express Meil ^ Return Receipt for ~ <br />II Merchandise <br /> w <br />p 7. Date of Delivery <br /> 0 <br />Q 5. Signature IA res 691 <br />~ B. Addressee's Address (Only ii requested <br />i <br />d f <br />id Y <br />F en <br />ee <br />s pa <br />) m <br />W ~ L <br />~ a Sinna(rrra IAnwnTl F <br />w PS Form 3671, December 1991 tr U.S.G.P.O.: 1883-307570 <br />P 179 L~~ea~k4 CET <br />Rece~f>~r C-~"~Y7 <br />c~ ~ Certified Mail <br />C No Insurance Coverage Provided <br />Do not use for International Mail <br />~~ (See Reversal <br />U <br />a`> <br />c <br />ap <br />f,rt <br />C. <br />E <br />5 <br />C <br />td ~ <br />E~ <br />~ d <br />1 C <br />7 <br />~•') Q <br />L'•) ~ <br />r t7 <br />E <br />lL <br />a <br />Senn <br />f~ rec Inc <br />Sneer an n <br />~8 roYn ass p . <br />P O . Siaie antl DP Co e <br />!rraad ~i,lnr ion Co 8~~0 <br />Postage y <br />y" <br />CenAreO Fee <br />Soeaai Delnery Fee <br />Resn ea De G <br />Return Re <br />to Nma' ~ a a . <br />Return c Showing t <br />oar an a0ressee's <br />iOiAL Stage 4 <br />B fees _ <br />Postmark or Date <br />A <br />