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I m SENDER: <br />y Compete items t sntl/or 7 for etltlitionel services. <br />~ .tl Complete items 3, end ee 6 b. <br />p • Print your nsme ens edtlrees on the reverca of Nis loan so that we can <br />o return this card to you.. <br />• Attach this form t0 the front o! tfro meilpwee, ar on the beck if space <br />tloee not permit. <br />• Wri[e"Return Receipt Requestaa"on the meilpiace below the article number <br />i The Return Receipt will chow to venom tna enicls was delivered •nd tM date <br />CD delivered. <br />~p 3. Article Addressed to: 4e. Art <br />~$ 1mR. m\~A2~. ~e.~aA~ x. <br />E 4b. Sel <br />I also wish to receive the I <br />following services Ifor an extra <br />teal <br />1. ^ Addressee's Address y <br />2. ^ Restrictetl Delivery c <br />re <br />~~, ~ ~A (~~~~'~~ ~,~ U~`'CR.O ^ Registered <br />m pp ' Certified <br />I W 1:~ ~ ~ YJX ~ ~ ^ Express Meil <br />~ <br />a ~~„~- c~,l,..~~., ca aaa3~ 7. Date of D <br />, <br /> <br /> 5. Signature (Addressee) 8. Addressee <br />F <br />W antl tee is <br />8. Signature IAgen[1 <br />`7 <br />p ~ <br />I <br />~ ' <br />.' 9t.&ecChtltdr 9i°iauac-r.2:i4>az• a.rr~®Y11161 <br />)f fBB. p <br />C <br />3S`z : ~ <br />a' <br />.°. ! <br />^ Insured <br />^ COD ~ <br />^ Return Receipt for ~ ~ <br />Merchandise o <br />I <br />7 O3 i. i <br />dr ss (Only if requested Y i <br />a ~ <br />~ ~ <br />iJSG3s•n~s ~~e\Gr~S vc.l <br />