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e SENDER: <br />• Complete items 1 end/ar 3 for •dditionel services. <br />o • Complete items 3, end 0a 8 b. <br />q Print your name and address an the reverse al this larm ea that wa can <br />C return this card to you. <br />~ • Anech [his farm to the Iront cl the mailpiacs, or on the beck it space <br />does not permit. <br />r • Write"Return Receipt Requested"on the meilpiece bebwthe article number <br />• Tha Return Racmpt will show to whom the article was deliveretl and the data <br />C delivered. <br />~ 3. Article Addressed to: 4 Art <br />m M r. Lena ~ LcX.t~o~~ }~ <br />E ou nen ~.51-o~e~.0 4b. see <br />I also wish to receive the <br />following services (for an extra <br />feel: ~~ <br />1. ^ Addressee's Address y° <br />2. ^ Restricted Delivery <br />Consult postmaster for fee. <br />Da 8~3 <br />^ Insured <br />^ COD <br />•• <br />6 <br />'o <br />O <br />m <br />°u yZ~~1 ~77 <br />d <br />~ ^JRegistered <br />N , <br />. <br />W W C7J~ t0 <br />~Y ' <br />~f 7~A Certified <br />L <br /> ' J Express Mail <br />L <br /> <br />~ 7. Date of Delivert <br />Q <br /> e <br />~ <br /> 5. Ignature (Addressee) 8. Addressee's Ad <br />~ end fee is paid) <br />W <br />6. Signature IAgentl <br />3 <br />0 <br />n PS Form 11, December 1991 A U.S.G.P.O.:1B92-307-590 p~ <br />rA <br />c <br />ftiJ ~ <br />- o <br />3sted x <br />e <br />L <br />h <br />RETURN RECEIPT <br />