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~. <br />~ SENDER: <br />'y • Complete Items 1 and/or 2 for atltlitiona services. <br />N • Complete items 3, and 4a & b. <br />• Print your name antl address on the reverse of this form so that we can <br />~ return this cartl to you. <br />y Attach this form to the front of the mailpiece, or on the back if space <br />does not permit. <br />• WTe "Return Receipt Reeuested" on the mailpiece below the article number <br />'he Return Receipt will show to whom the article was deliveretl antl the date <br />G delivered. <br />also wish to receive the <br />follOWing SerVleea Ifor an extra ~ <br />feel: 'a <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery •m <br />Consult postmaster for fee. m <br />~ 3. Article Addressed to: 4a. Article Number <br />a /yam. ,~.// ~vr~ixohS-!/ ~ G (vd Gb7o <br />E ! / p~4Ca~rer~ ~~'^`~ 4b. Service Type <br />~G4` %i X v ^ Registered ^ Insured <br />0 <br />U /, )) ,~, ~ <br />N 73 r~s I~G${t,.c~ 7r]yt_ f~ L~f Certified ^ COD S <br />W ^ Express Mail ^ Return Receipt for ~ <br />G /' ~' ~O~ oZd~ 9v Merchandise <br />p 7. Date of elivery <br />~ 5. Sig ture IAddresseel Addressee's Address (Only if requested Y <br />7 ~ ' and fee is paid) ~ <br />H ~ <br />L <br />~ 6. gnature IAgen ~ <br />q PS Form 3 11, December 1991 >u.s.opo:tuez~zaroz DOMESTIC RETURN RECEIPT <br />-P 296 608 0~0 <br />T tOiAL Pnsiayc l <br />L~ C Fees <br />~ Poslmarl or Dale <br />`\\~ ~ ,-„ <br />N <br />a <br />~ 0 Slate mm clP p oa V <br />Q Q/ (~~. pG <br /> Pnsla~ro, <br />r <br />N C.nibeaFeeRl-~EIVE <br /> <br /> Syenai Delrverv Fee <br /> Peslnne0 Delnery ee <br /> <br /> <br /> Rewm Pecerol Snowing <br />~, ie nnm r, I rrerals is ,eolc <br /> <br /> <br />"• Relurn Rere~pr Snowing to Wnom. <br />C Daic, an0 AtlNessee's AOdress <br /> <br /> <br /> No4 <br />~ ® <br />Do r <br />Q .ov.,ssan <br />lSee <br />(,~ a n <br />~ FrY~c i <br />~ s re„i a <br />y <br /> 3 3 <br />c <br />~ rcel <br />° Cel <br />N <br />O <br />Mail <br />1 <br />