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n. <br />m SENDER: <br />y Complete items 1 and/oi 2 for etlditional services. <br />m • Complete items 3, and 4a & b. <br />r/• • Print your name antl address on the reverse of this loan so that we can <br />m return this card to you. <br />~ • Attach this form to the front of the mailpiece, or on the back it space <br />0 <br />~ does pot p¢rmLL. <br />III Illlllllllllllll <br />999 <br />I also wish to receive the <br />following services (for an extra ~ <br />fee): 'S <br />1. ^ Addressee's Address y <br />t • Write"fleturn Receipt Requested"on the mailpiece below the article number. 2 ^ Restricted Delivery G <br />• the Return Recerpt will show to wham the article was delivered and the date U <br />G delivered. _ Consult postmaster for fee. ¢m <br />~ 3. Article Addressed to: ~ --r 4a. Article Number <br />1 1~ 17 9 /(>,S 81 (n <br />a ~oN~PcS~CI /"1tHrl~tq ~'o ~ <br />E J 46. Service Type <br />a AO. l30~- s3s ^ Registered <br />u ~Certilied <br />W so n•re ~5~f fG~ ~~l{J (~/ i6lail <br />~ 7 ^ Express <br />D 7. Date of Deliver <br />°a -3rJ <br />~ 5. Signature (Addressee) 8. Addressee's Ac <br />~ and fee is paid) <br />m <br />^ Insured ~ <br />^ COD .~ <br />^ Return Receipt for 7 <br />se C <br />7 <br />requested x <br />c <br />n <br />F <br />t- <br />6. Sig lure (Ag tl <br />7 <br />H P9Forni 11, Decem 1981: nus.GPOaou• ^• DOMESTIC <br />!"9'ti Complete items 1 antl/or 2 for etlditional eervrcea. <br />•'~oT •Complete Items 3, and 4e 8 b. <br />m Print your name and address on the reverse of this loan so that we can <br />N ~raturn this cartl to you. <br />rf~• -Artach this loan to the Iront of the mailpiece, or on the back it space <br />. ~ doCe not permit. <br />'r<~9rite"RemrnRel:eipt Reauemed"bntYie mailpiece below ttt9 article number <br />• TM Return Receipt wi(I show to whom the article was delivered and the data <br />C delivered. <br />~ 3. Article Addressed to: /~ ~ ~ 4a. Art <br />$ S~e-re7' /ufNa l o. <br />H S~xFrsp~` co ~ r ~3 y ~Cert <br />I also wish to receive the <br />following services (for an extra <br />feel: <br />1. ^ Addressee's Address <br />s 2.: ^ Restricted Delivery <br />Consult postmaster for fee. <br />le Number <br />~-Q,~ Sz7 4~y <br />~ ^ Express Mail <br />D <br />p 7. Date of Delit <br />a <br />5. Signature (Addressee) 8. Addressee'•Sr <br />H and fee is••flZ <br />W l\ <br />6. gnature IA ntl ~ <br />^ Insured <br />^ COD <br />^ Return Receipt for <br />Merchandise <br />r-~ ~\ <br />._-.:.~, <br />~~ <br />0 <br />U <br />.~ <br />m <br />y <br />6 <br />'m <br />O <br />Q <br />E <br />m <br />c <br />.' <br />o` <br />0 <br />T <br />Y <br />c <br />t <br />t- <br />4 U.S.G.P.O.: 1992307-530 <br />