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SENDER: <br />y • Complete items 1 and/or Z for additional services. <br />m Complete items 3, antl ba 8 b. <br />~ • Print your name and etldress on the reverse of this form so that we can <br />m return this card to you. <br />• Attach this form t0 the front of the meilpiece, or on the back if space <br />does not permiC. <br />m • Write "Return Receipt Requested" on the madptace below the arti¢la number <br />• The fle[urn Receipt will show m whom the article was tlelivered and the date <br />~ tlelivered. <br />v Article Addressed to: A,,t <br />CI bFCO-'1'V1'l~l(JV~~ <br />is ~ ~ IQ. Coup 4b. Sei <br />E <br />I also wish to receive the <br />following services Itor an extra <br />feel: '> <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery •m <br />~ ~ ~x /^~/\ (^~,, ~Registered <br />y T'O• fw e\ U3Certified <br />w ~n ~LI~S~ ~ ~ (I~Joc ^ Express Mail <br />^ Insured <br />^ COD <br />^ Return Rn <br />¢ mercnanoi <br />~ 7. Da `t Deliye_y r~ <br />Q <br />~ 5. Sig atk~re (Addressee);' 8. Addressee's Address (Only if <br />~ / ~ ;t C /V and fee is paid! <br />~ 6. ignature IAg ntl <br />m PS Form 811, December 1991 nu.s.cPO:teaa-aszTtb DOMESTIC RETURN I <br />P 296 607 <br />M~ <br />NO °°. <br />O <br />U <br />0 <br />T <br />NC <br />C <br />c~ <br />i0. <br />NaiAYrar~e CdaGerage Provided <br />Do of c~ or International Mail <br />(See fY/e~rsel <br />2m Ip <br />• <br /> ~ <br />e an <br />5'a~u°~Z'P`tl~o 8115a <br />Postage F <br />i <br />ee,re,ea fee <br />Speoat Detmnv fee 1 C~ <br />~ e <br />Resnuea Detmery Fee <br />•` <br />~ ` <br />Petmn Rece~ot Snowinq <br />per ~ <br />~ <br />m Whom & Date DvPmereO <br />PeWm Receipt Snomm99 Whom, <br />' -` <br />V <br />Dm¢, a~0 AtldresseB;s <br />Nd <br />TDIAL Postage <br />e cee, <br />Postmark of Dale <br />' i <br />S <br />fee. u <br />2 <br />m <br />01 <br />c <br />;eipt (or ~ <br />se C <br />0 <br />T <br />requested x <br />c <br />r <br />t- <br />