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• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, and 4a & b. <br />• Flint yourname and address on the reverse oT this form so <br />that we can return this card to you. <br />• Attach this form to the front of the mailpiece, or on the <br />back if space does not permit. <br />• Wri[e "Return Receipt Requested" on the mailpiece next to <br />the article number. <br />I also wish to J~h <br />following servic,s Ifor an e <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Article Atldressetl to: 4a. Article Number <br />G Pros 0,~1~wdValleyC~( COr !7~f ( 7 <br />~• ~O I rt q p .yr. 4b. Service Type <br />J. I ^ Registered ^ Insured <br />~ ^ COD <br />~Q.0~10. C/~ g~y r,~~77 ~'Certifi~f~, <br />~ - ^ Express~vlail ^ Return Receipt for <br />Date of Deli ery <br />Addressee's Address (Only if requested <br />and fee is paid) <br />October t990 RU.S.GPO:tYtKH3I3BIit DOMESTIC RETURN RECEIPT <br />