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III I1111111111A11! <br />P 179 166 283 <br />R t for D ~ n'1 <br />Ce f fed- <br />" Ea~~d~ <br />~ No~r~r~ce Cos~r 9@~ <br />NO~,AC?- Do not use fl7r'Rtterf[dSfOn3YllRail <br />00 ISee Reverse) <br /> <br />~ <br />/ Seni iot <br />4l /QGiC~ik (~ <br />~ . <br /> Sveei antl No pe~V~~ ~/ ~O• <br />N <br />~ <br />~ P 0 . Slale and ZIP Cote <br />~O. E/dX C~.~O <br /> <br />0 Portage <br />~ <br />T Ceil~Latl Fee / <br /> <br />E Speoal Deeve,v Fee <br />I <br />Fi. Re51LCletl Delivery Fps <br /> ~.~pY <br />Rem ~yy'~{no.~' 9A <br />< <br /> IS~Ie Deirveh'(1 y <br />~o Pn <br /> ~Beceipi $M1Owing ~o WM1O <br /> `~ntl Atltl~essee'S Ad0~P55 <br /> i Postage <br /> 8 Fe?5 <br /> Poslm a i '~ <br />I <br /> ~ <br /> <br /> <br /> ,~~.., <br /> <br />" SENDER: <br />Complete items 1 end/or Z for additional services. I 8150 wish t0 reCeiVB the <br />~ Complete items 3, sad 4a & b. following services Ifor an extra <br />• Print your name end address on the reverse of this form so that we can feel' <br />o return this c•r0 to you. ' <br />m • Attach this lorm to the front of the meilpieca, or on the beck if space 1 . ^ AddtBSSee's Address <br />r does not permit. <br />_ • Write"Return Receipt Requested"on the meilpieca below the article number. Z ^ ReatrlCted DQIIVefy <br />• The Return Receipt will show to whom the article was tlalivered end the date <br />C tlalivered. COnaUlt OStmaeter for fee. <br />O <br />9 3. Article Addressed to: 4a. Article Number <br />E Poyg~G.-(~pNt ~4, ~ ~• 4b. Service Type <br />~ ~Da n X /~~~ ^ Registered ^ Insured <br />H (J~ ~~.S Z~p 02ertified ^ COD <br />y /C2` ~`f~~~~ CO ^ Express Mail ^ Return Receipt for <br />Merchandise <br />R 7. Da ~.} Deli~y~ ~n <br />5. Signature IAddre 1 8. Addressee's Address (Only if requested <br />F - and fee is paid) <br />W <br />6. Signature (R~gent) ' <br />o <br />PS Form 1 t, December 199t C U.S.G.P.0.:1992-30]-530 DOMESTIC RETURN RECEIPT <br />O <br />.2 <br />N <br />•. <br />is <br />.m <br />O <br />e <br />Y <br />m <br />S <br />a <br />c <br />.? <br />T <br />Y <br />e <br />m <br />L <br />f <br />