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III IIIIIIIIIIIIIIII <br />p • CwrWse it•tY 1 wtdiar 2 Nr 1//iYBpl ..rre•r. <br />o • Complete Items 3, end 4a & b. <br />x • Print your name and address on the reverse of this farm so that we con <br />m return this card to you. <br />• Attach this form to the front of the mailpieoe, or on the back if Space <br />a1 does not permit. ' <br />.t. • Wr'rrte"Return Receipt Rer/uested"on the mailpiece below the article number <br />• The Return Receipt will show to whom the article was delivered antl the date <br />~ delivered. <br />v 3. Article Addressed to: 4a. Ari <br />I aba avian to r9eefva utn <br />following services (for an,extra e r <br />u~ <br />feel: Z <br />1. ^ Addressee's Address y <br />2. ^ Res[ricted Delivery 'm <br />E 4b. Service Type <br />V <br />~ <br />~~ ~~ 7 <br />~ ^ Registered ^ Insured <br />ifi <br />d ^ COD <br />~] C <br />y . <br />• ert <br />e <br />~ <br />to ~ rsO <br />`~ ~61 p ~ <br />~ <br />{ <br />CQ Return Re <br />^ Express Mail ^ <br />Marchand <br />~ N~~ <br />~' 7, Date of Delivery,__. <br />a .;/~ i ~ <br />a 5. Signature IAddresseel 8. Addressee's Address (Only if <br />~ and fee is paid) <br />f <br />S 6. Sig re IAgen <br />few , 0 ~iciNtYp•~ip~ S <br />~• ~ <br />fee, m <br />Q <br />~- Y <br />¢1 <br />a <br />c <br />:eipt for 3 <br />sal,`,, ~ ', <br />-W~- >; <br />requested ~t ' <br />~ m• <br />tl <br />r <br />