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4° SENDER: <br />el • Complete items 1 and/or 2 for eddifloneV~aptvi);es. I also wish to receive the <br />~ • Complete items 3, antl 4e 6 b. following SerViCBS (for an extra V <br />~ • Print your name and address on the reverse OI [his loan so that we can <br />foal' <br />o return this card [o you. <br />m Attach this form to [he front of the mailpiece, or on the back i f space i. ^ Addressee's Address y <br />does not permit. <br />m • Wri[e "Return ReceiptRequested"on the mailpiece below [he art <br />L„ <br />icle number. <br /> <br />2. ^ Restricted Delivery <br />_a <br />• <br />• Tne Return Receipt will show to whom the article was delweretl and the date <br />e delivered. <br />Consult postmaster for fee. m <br />y <br />9 3. Article Addressed to: 4a. title Number <br />a ~W ~ N F/2/~ 5~2 ~ . ~ ~o ~' <br />E 4b. Servjco- Type ~ <br />y ~D 3C7 v ~O p <br />/ O~ <br />r,~ <br />/~ ^ Registered ^ Insured <br />l~-C rtif <br />d ^ COD ~ <br />5 <br /> r_ <br /> Mail ~~e[urn Receipt for ~ <br />~ T <br />/ <br />1 <br />S ~ _,• l: , <br />Merchandise <br />C T ( L L <br />~~~C~ <br />` h <br />' [ <br />v <br />r <br />' r°. <br />p L Y~! <br />C / : <br />Je <br />y <br />. <br />e <br />. <br />Q ~ <br />,' ', ~ <br />o <br /> 5. Signature (Address 1 ~ I R'',Qd <br />s <br />ddress (Only if requested <br />se ~ c <br /> d f <br />~ <br />1 ~a~] (. <br />pa <br />n• <br />~~ <br />~~ ~ <br /> <br />t <br /> 6. re gen y <br />` ~ <br />4U.5. GPO: 1YY~a52~71~ <br />P'296 608 448 <br />1 <br />Receipt for <br />Certified Mai <br />M No tASUrer ~ ed <br />J ~ Do not us'bfdr Inte <br />ISee RevQCB~ x a2I-Xv>_ I e!/ <br />.O Senl 1~ s _ <br /> <br />J 511ee~ and Nn Ox t~. b ~ <br />~ P o . Slate and ZiP cyGa <br />~ <br />1! <br />~ 9~/ <br />> 0 <br />- <br />S E r k <br />~ Pn51d9e <br />^ <br />J <br />i CerulredFee RF(;E VE <br />r D <br />r Speuai Delivery Fee <br />SEP 1 <br /> <br />e Rennued Deiwely tee <br /> <br /> Return p®~~.~qq pg ^^ <br />io venom 5 Ddle i Ineral <br />~ Geoi <br />:.m Remm Peceip~ Snowing io venom. <br /> Dale, aid Addresxe's Atl <br /> <br />/~ iDTAL Postage <br />B Fees V <br />'~ Postmark of Dale ;y° WA '"LQ ~ <br />.97 f'^7 ~&a~ ~ <br /> <br /> • <br />j <br /> r <br />RETURN RECEIPT <br />