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iiiiiiiiiiiiiiiiiii <br />o SENDER: <br />3 Complete items 1 antl/or 2 for additional services. <br />~ • Complete items 3, and 4a 6 b. <br />y Print your name and address an the reverse of thia loan so that we can <br />o return this card to you. <br />o • Attach this form to the Irons o1 the meilpiece, or on the back if space <br />r does no[ permit. <br />o • Write"Return Receipt Repuestetl"pn the mailpieca below the article number <br />« • The Return Receipt will show to whom the article wee delivered aM the date <br />1 also wish to receive the <br />following services itor an extra ~ <br />feel: '> <br />1. ^ Addressee's Address y° <br />2. ^ Restricted Delivery •m <br />3. Article Addressed to: 4a. Article Number <br />U`fl~G.. 1/hAicf..ws."Mtoole~-o,v l'}s~ !66 <br />` ~ ` ~ 4b. Service ype <br />~j~,>pQ~.(vk~k!! A 1Y1pANN ^ Registeied ^ Insures <br />1 S $UZ T'~V.f„F `" UiAI~-y p~ !~rJvJ ~Certifi~U ^ COD <br />~""~ X90 V ~'`~ ~ ^ Express Mail ^ Return <br />~~ tllV R.~Ct Co $0'r_67 Merc <br />7. Date of Delive <br />and fee is paid) <br />~~ 6. Signal <br />0 <br />FS <br />for fee. o <br />Q <br />!33 <br />.. <br />G <br />.G <br />Receipt far ~ <br />andise w <br />'3 <br />f if requested Y <br />c <br />L <br />H <br />