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iii iiiiiiiiitiii iii <br />999 <br />SENDER: ~/ <br />• Complete itama 1 end/or 2 for additional aervicea. <br />• Complete items 3, end 4a 6 b. :t <br />• Print your nema and etltlreas on the reverse of this formee <br />return this omtl to you. <br />• Atroch this form to the Iront of the meilpiece, or on the aadk tF lptOB <br />doea not permit. <br />• Write"Return Receipt Reouestad"on tM meilpiece below the clepumbe <br />• The Return Receipt Fee will provide you the aiprwture of [Mpera delivers <br />to end the tlate of dalivarv. <br />3. Article ACAressetl to: <br />~avi.GQ k ~ Y~czn p.r.,~ pecta~ <br />(of cn a ~ o d tcer~.o FJ~~, ~y,-t,ce <br />i,r,~ ctUA ~~ 9 O Co,K (X ~ ~P <br />s. <br />1990 au.s.cro: <br />1 also wish to ret~tve tart <br />dOUDWi11g~60rv/GP•9: 'mr 0~ld, ., •~ <br />fe9i: .; ~ ~ .;_; . r_ <br />7. ^ Addressee`s Address <br />2. ^ Restricted Delivery <br />(.bnsult Destmaster Tor fee. <br />:le Number <br />~bb i~o 9sr <br />nc 9y e <br />O Insured <br />O f~OD <br />ss eturn Receipt for <br /> <br />