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SE DR: <br /> Comp to items 1 and/or 2 for additional services. I also wish to receive the <br /> Complete items 3,and 4,8 b. following services (for an extra St <br /> S':% PrMt your name and address on the reverse of this form so that we can fee): <br /> o return this card to you. Y <br /> i • Attach this form to the front of the mailpiece,or on the back if space 1. El Addressee's Address y <br /> does not permit. <br /> e a Write"Return Receipt Requested"on the mailpiece below the article number. IL <br /> .�+ • The Return Receipt will show to whom the article was delivered and the data 2. El Restricted Delivery V <br /> e delivered. Consult postmaster for fee. m <br /> 0 3. Article Addressed <br /> /to: p 4a. Article <br /> �Number /�/�/—�� cc <br /> `�(/e Coti� � 4b. Service Type Coo <br /> o `s?c,ad o`�'�'f �" ❑ Registered ❑ insured <br /> caP,d, aax ❑ Certified ElCOD & <br /> �f L�s a �' ❑ Express Mail ❑ Return Receipt for on <br /> O CfBn6gJ `O ! Merchandise w <br /> 7. Date of Delivery <br /> a 3 Z3- '13 xts 'o <br /> CC 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y <br /> M and fee is paid) <br /> cc W L <br /> 6. Oiq ture 1 ant F' <br /> 9 <br /> 0 <br /> w PS Form 351, December 1991 U.S.O.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT <br />