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iii iiuiiiii~iu i~~~ <br />~. <br />c SENDER: <br />y Complete items i lM/or 2lor addltipnal services. <br /> <br />I 815o Wish to receive the <br />y Complete items 3, and 4a b b. ~ ~ following aefVlCeS (for an extra tmi <br />• Print your name and address on the reverse of thjs farm so t <br />' hat we can <br />' <br />fee(' <br />` <br />± <br />lD return this card to you, <br />• A[tech this form t0 the /root of the mailpiece, or on the back it space 1. ^ AddresSee'S Address N . <br />does not permit. <br />m • Write "Return Recei t fle nested" on the mail ece below the a <br />t p 4 Pi <br />rticle number. <br /> <br />2. ^ Restricted Delivery <br />G <br />•- <br /> <br />• The Return Receipt will show to whom the article was deliveretl and the date <br />c delivered. <br /> <br />Consult postmaster for fee. y <br />~ <br />ru <br />v 3. Article Addressed to: 4a. Article Number <br />~ < <ls <br />a R«~ a sa ~ v6 m <br />. <br />w~.k ~/~ ^- <br />m~`G ~l.f~ <br />~W'~`•` 4b. Service TypE <br />^ Registered ^ Insured <br /> <br />7q <br />y ~ <br />6 <br />O~ <br />S b ~ ~~ ~ ~ ~~ <br />Certified ^ COD ~ <br />.5 <br />7 <br />i <br />u L <br />~ ^ Express Mail ^ Return Receipt for ~ <br /> ~ ~+ _ t~i.u61 <br />M /~ Mer handise <br />G OA <br />, <br />~ <br />l1J Off/ L <br />~ li w I <br />Q h L,~¢~ <br />.. 7. Date of De <br />v/~ry /~/ '} <br />~ <br />~ <br /> Lr <br />. % 7 T <br />s 5. Signature (Addressee) 8. Address e's Address (Only if requested Y <br />7 and fee is paid) m <br />~ s <br /> <br />S <br />6. Signatur Agin , <br />I" <br />O _. <br />~ PS Farm (7Q7 7, DBC¢mGer 15th •U.S .GPP.7Wt-g23IWt pOME9T~. <br />