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^- SENDER: <br />m 1 also wish to receive the <br />L • Complete items 1 entl/or 2 for etldinonel services. <br />~ • Complete items 3, and as 8 b. following services Ifor an extra ~ <br />yOj • Prin[ your name end adtlress on the reverse of this loan so that we can {eel: Z <br />return this card tc you. ~ <br />> • Attach this loan to the front of the meilpiece, ar on the beck it space 1. ^ AddreSaee~a Address N <br />r does not permit. <br />_ • Write "Return Receipt ReQuested" on the meilpiece below the article number. 2 ^ Restricted Delivery 6 <br />• The Return Receipt will show to whom the article was delivered end the date m <br />C delivered. Consult Oatmaater fOr fee. 0 <br />a 3. Article Addressedd Ito: 4a. Article Number ~ <br />E ,r~~~ 4b. Service Type ~ <br />~~~~ ~~~` /er. 'n ^ Registered ^ Insured ~ <br />~A 7 '~~l,l 11 ~~ ~Y-i Certified ^ COD 5 <br />u ~1~rJ~ (`--~~ C6 ~~v~ ^ Express Mail ^ Return Receipt for ~ <br />Merchandise <br />C Q C Date of Delivery w <br />Q t1a ~ o <br />T <br />¢ ur ddr~ss Q W dressee's Address (Only if requested Y <br />F ~ d fee is paid) a <br />6. Si natu a IAgentl ~ <br />9 <br />o - <br />~ FF+~,.. 7'7, e p t9yt e...r,',-. , .. -r. QM~S lET ~E ~EfE1RI <br />~'A-~+.~~.;.uri«i•e: -:: -._. ~''lu~,.i ',_-_ ~'~s=, ~_4.i44ev.ir:,:-~..:~F~~ ~ - ~_':uuri-~'..Z <br />