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• Complete items 1 andlor 2 for adtli[ional services. I also wish to receive The <br />• Complete items 3, and 4a & b. following services lfor an extra <br />• Print your name and address on the reverse of this form so feel: <br />that we can return this card to you. 7 <br />^ Addressee's Address <br />• Attach this form to the front of the mailpiece, or on the _ <br />back if space does not permit. <br />" <br />" <br />~ Restricted Deliver <br />2 <br />• Write <br />Return Receipt Requested <br />on the mailpiec e next to . <br />y <br />the article number. Consult postmaster far fee. <br />3. Article Addressed to: 4a. Article Number <br />~G IG / / %J~//7~i cy / y /~ C <br />~~ Y~ ~- ~r~Q~SG A~~ <br />$ry~ 4b. Service Type <br />^ Registered ^ Insured <br />.O~~UCr,' C' 0 8oaa ~-a3-3 Q'Gertitie~0.cN7~ <br /> ^ Exprest ~ d td Receipt for <br /> ~ e ndise <br /> 7. Data Rf el~v4ry~~t y., <br />1 <br /> r.1 <br />~n ~ ;,~` ~~~ O <br />ig t r 1 8. Addr Ad rag don if requested <br />r <br /> and fe <br />\~e ~3~ ~ ~/ <br />6. Signature nt <br /> <br />PS Form 11, October 199 au.s. e;ro: toao.-ztamr DOMESTIC RETURN RECEIPT <br />