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c SENDER: <br />9 Complete items 1 end/or 2 for adtlitional services. I x150 Wish [O receive the <br />• Complete items 3, and as & b. following services Ifor an extra <br />m ••7rin[ your name and atltlress on the reverse of this toAn so that we can feel: <br />o return this cartl to you. <br />m Attach this farm to the Irons of the meilpiece, or on the bock if space 1. ^ Addressee's Address <br />r tloes nat permit. <br />L • Write"Return Receipt Requested"on the mailpiece below the ankle number. 2 ^ RCStrlcted DelVely <br />• The Return Receipt will show to whom [he article was delweretl and [he date <br />c deinered. Consult postmaster for fee. <br />v 3. Ayrtpicle Addressed to: 4a. Articple Number ~7 /~ f 2 <br />p C/ (f U~~ ~tR~c~ (JA~ ~f~y ~Gki r ~ -1 ~ / o~ll, / <br />E n / 4b. Service Tyf <br />o ~~ fJ~~ ~ 2- I ~ ^ Re istered <br />U <br />y Certified <br />paonfa 1 CG o ~ ` •~ O ^ Express Mail <br />~ 7. Date of Delivery <br />D <br />~j ~ <br />Z _ ~J ` C <br />S 5. Signature (Addressee) 8. Addressee's Address 11: <br />~ and fee is paid) <br />F <br />w <br />6. nature (Agent) <br />o ~ ~~ ~ r <br />n PS Form .~ 11, Dec tuber 1991 c u.s.G P.o.: tesz-30t-530 DOMESTIC RETI <br />^ Insured <br />^ COD <br />^ Return Receipt for <br />EIn...A..~A:nn <br />m <br />U <br />.~ <br />N <br />c <br />.0 <br />0 <br />E <br />m <br />OI <br />N <br />7 <br />O <br />w <br />O <br />T <br />Y <br />c <br />t <br />F <br /> <br />