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• SENDER: Complete items 1 end 2 when additional services ere desired, end complete items <br />3 and 4. <br />Put your address In the "RETURN TO" Specs on the reverse side. Failure to do this will prevent this <br />card from being returned to you. The return recel t fee will rovide ou the name of the arson delivered <br />to end the date of deliver .Fore itiona ees t e o owing services ere evei a e. oneu t postmaster <br />or ees en c ec c ox es for additional service(s) requested. <br />1. ^ Show to whom delivered, date, end addressee's address. 2. ^ Restrlctetl Delivery <br />(Extra cMrge) (Finn cMrge) <br />3. Article Addressed to: • 4. Article Number <br /> <br />(~ O~Lp <br />11 c54 C^ p'~ 4 <br />~ <br />{{ <br />5 ~ <br />5a <br />0 T Pe of Service: <br />~ <br />y <br />983 dlal <br />OQI[ Registered ^ Insured <br /> ~-Certi/letl ^ COD <br />N ~ ryryry~~~ '''s~~~ ~~l"""''' ~~- ~y~ <br />t 1 w ~•'r ~ ~/7~~ <br />G p <br />^ Express Meil ^ Rar Merchandiss <br /> Alweya obtain elgneture of edtlressee <br /> or agent entl DATE DELIVERED. <br />5. Sig re - ss S. Addressee's Address (ONLY if <br />X rcgrvsted and fee paid) <br />6. Slgna - gent <br />X <br />7. Date of Delivery <br />a <br />PS Fam 3871, Mv. 1968 • U.3.13.P.0. 1988-21Q-985 DOMESTIC RETURN RECEIPT <br />P.767 447 663 <br />N <br />m <br />rn <br />d <br />c <br />S <br />E <br />LL <br />N <br />a <br /> <br />RECEIPT FOR CERTIFIED MAIL <br />NO INGNRANCE COVERAGE RROVIOEO <br />HO1 FOR INEERNAiIONAL MAIL <br />(See Reverse) -~ . 5 <br />S to <br />5 G <br />heel an o <br />' a a s W 'a <br />P O.. Slate and ZIP Code c <br />O D ~0 <br />Postage 5 <br />Cenilied Fee <br />Special Delivery Fee <br />Restricletl Delivery Fee <br />Return Receipt showing <br />ip whom entl Date Deliveretl <br />Return Receipt shawrng Jd'whom.~ <br />Dale, and Atltlress of Oeltvery- _ <br />~' <br />TOTAL Postage anp~$es ~~,1 5 0~ <br />Postmark or Dale tdt <br />SC~C.~ <br /> <br />J <br />J <br />