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~SENDEflimms t and/or 2 for addi[ionalservices. ' I also wish to receive the <br />rye • Complete iuma'3, end 4a a h. ~ <br />' }ottowing SerYrCeS (tor an extra m <br />• Print your namb <br />ARd address pn the reverse of this Corm so tti~ We can <br />~ feel: 'i <br />m return this card tp you. ~ ~ <br />I, <br />i Attach this Corm to the Iron[ oh the mailpiece, or on the beck if space ~ <br />1. ^ AdtlreSSee's AddreSS _ <br />y <br />m does not Permit. ' <br /> <br />• Write"Return RetaipLRequesled"on the mailpiece below the article number. <br />L <br /> <br />2 ~ RCStrlCied Delivery <br />V <br />6 <br />. <br />+ <br />• The Return Receipt will show ro whom [he article was delivered and the date <br />e delivered. <br />Consult postmaster for fee. V <br />m <br />v 3. Article Addressed to: ~ "' <br />..,.:. <br />~ &a.' Articlb Number <br />z s`zS 7~Z ~ <br />s N~4~ ~ zEY <br />'r Nk~L <br />E ~ 4b. Service Type <br />p t nA ~n / <br />CULiNfJ v~~ 0„VL /~ ~ ^ <br />-y-R <br />egistered ^ Insured <br />y , <br />~ <br />.IJ`l.ertified ^ COD 5 <br />y <br />PO ~~ X ; ~ 3c eturn Recei t for <br />^ Express Mail `~ <br />p ~ <br />~ 1 Merchandise w <br /> '! 7. Date of Deliver <br /> <br />' ~ 5. Signature (Addressee) 8. Atldressee's Address (Only if requested Y <br />~ and fee is paid) ~ <br />~ <br />F- <br /> 6. Sig u ntl <br />H <br />0 <br />e PS Form 11. Dace er 7997 ou.s.cR asx,ns DOMESTIC RETURN RECEIPT <br />' - P -2,96 525 7~2 ~ <br />~,, Receipt foE- „ y. • <br />o~ Certrfied Mal '` ~ ~~ ~~ <br />CV <br />COO +~ No Insurance Coverage Provitletl <br />~o,l:, Y'?K} Do not use for International Mail <br />Q (See Reversal <br />V Sem for <br />` LtQJnPS 0.r P- <br />~ Srreei anti r+p <br />~ ~ i 730 <br />c a o sia~e a~n zla coda <br />Q o,i/ Py" CU Opp <br />L7 F'osiaga <br />(y Cemt,ea Fee <br />L Speuai Deanery Fee <br />fle RnneG Deiirery Fee <br />C[j <br />~~ FeluT PCCeipi $npw~ng <br />~m ip Whom 8 Dale Denearee <br />L' U aelmn fleceipi $M1Owing Ip Wnpm. <br />J Dale, and Atleressee's Aptlresc~ <br />C•Y ~ iDTAI Pps:a9e ~ .., . ~- r <br />l 10 8 Gees ':~" • S <br />T~ ~ VoSimai4 a D e <br />~~ I~ X95 / <br />N '', : ~1 <br />-a I.J ~• <br />