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M1 <br />SENDER: <br />• Complete items 1 andlar Z for edtliYional services. <br />I also Wieh t0 receive the <br />b <br />i • Complete items 3, end Oa d b. <br />f010wing ServiCea (fer an ex[r8 ~ <br />G <br />~ • Print your name and address on the reverse of this form so that we cart feel: 'S <br />O return this card to you. <br />i • Attach this form to the Iront of the mailpiece, or an the back it space <br />1. ^ Addressee's Address <br />y <br />does not permit. <br />r Write"Return Racaipt Requested"on the mailpiece below the article number. <br />2 ^ R2S[rIC[ed D@IlVery <br />G <br />• The Return Receipt will show to wham the article was delivered and the date <br />c delivered. <br />Consult postmaster for fee. m <br />m <br />¢ <br />e 3. Article Addressed to: 4a.~rticle Number~~ ~ ~ <br />S ~ <br />.7~ c <br />~ <br />~ <br />~ <br />~ C <br />~ <br />n ~ <br />r- <br />7 <br />` ~ 4b <br />i <br />T <br />S m <br />u ` _ / ~/ ~ ~/ ~ A i I ~~ ~/~rs <br />~r <br />t'C ,~ I` . <br />erv <br />ce <br />yrye <br />^ Registered Q Insured ~ <br />l <br />N ~ertified ^ OD ~ <br />w (7 /~ <br />¢ ~ 1~~~ ~~C ~ ^ Express Mail ~eturn Receipt for <br />Merchandira ~ <br />~ <br />°a <br />lc7N(r/KON l` C O ~(~ ~OZ 7. Date of Delivery <br />~p - 7 1996 ~ <br /> <br />¢ <br />~ 5. Si ature IAddresseel <br />~ <br />~ <br />~ R. Addressee's Address (Only if requested <br />and fee is paid) ac <br />~ <br /> ~ <br />~ <br />Q~~ ~ <br />` <br />W 7~ L <br />¢ IA~e ty~ ~ <br />V f- <br />\~ <br />> PS Form 11, December 1991 AU.S.GPO: tYi)-J52~71~ DOMESTIC RETURN RECEIPT <br />P• 296 525 794 <br />Spec. C 5 <br />~, Receipt fo_~,_ :..~~ ~ <br />~' ~ Certified ~~if '' - ~~i! <br />~ ~ No Insurance Coverage Provided <br />ro,r.><w~r Do not use for International Mail <br />n ISee Reverse) <br />CU sem ~n ~ _~ F/ v <br />~ Si.rai antl No ~ <br />•~~ ~/ <br />z <br /> <br />Q P O , Siaic and ZiP Cotle~ , i <br />y D ~~O <br />L7 Postage ~ ` <br />n Cenmea v~ <br /> ~ <br /> ~ <br />~_ Speoa <br />Deeve~~r Fee <br />C Res~naea Oe~rveir Fec <br />c <br />S <br />r <br />t- <br />~ P <br />P <br />, <br />_, <br />, <br />a~m <br />~ e{mn <br />ec ~ ing <br />wlslo~ <br />r <br />I^N <br />V' Remm Ae no <br />wmg ro Yno <br />' <br />C <br />M Dale. <br />Atl i see7 <br />5 <br />T rei4L""~ si <br />orb 8 Feerl ~ ~q <br />rp Postmark (D <br />_:`U~ <br /> <br /> <br />