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e SENDER: <br />4 Compote items t sntl/pr 2 for adtlitianel services. t also wish to receive the <br />m Complete items 3, end 4a & b. following services Ifor an extra m <br />~ Print your name and address on the reverse of this loan so that we can feel: i <br />m return this card to you. m <br />• Attach [his form !o the front of [he mailpiece, or on the back if space T. ^ Addressee's Address y <br />does not permie. <br />m • Write"Return Receipt Requested"on rtre mailpiece below the article number. 6 <br />« The Return Receipt will show to whom the article was delivered end the date 2. ^ Restricted Delivery •m <br />c aeliveree. Consult postmaster for fee. o <br />a 3. Article Addressed to: 4a. ,Article Number <br />m m~, mA~~s m t pbi~.~~.~ n a 6-~~ <br />E ) 4b. Service Type <br />~ `yl (O. AmpA `C1o-`C ~ ' ^ Registered ^ Insures ~ <br />to a ~ o ~~ /'O /7I X17 Certified ^ COD , <br /> <br />~ 9S~ U ~(` <br />OA ~ <br />~ <br />C~ <br />~ <br />6 7 ^ Express Mail ^ Rae ucrhaRedceeipt for ~ <br /> <br />a <br />~ _ • <br />i <br />`" <br />T <br />~ ~te of D ivef l <br />~ y ~ w <br />~ <br /> <br />_ V <br />0 <br /> <br />¢ <br />5. <br />Signature (Addr`ssee) _ > <br />6. Addre ee's ddress ( y if requested Y <br />F '~- _ -- and e is paid) w <br />W .../'-~'~-~ . - C ' ~ L <br /> f Siau 'L., r~ 1~ <br />C __ - i Its , <br />T <br />PS Form ~ 11, December 1991 n u.s.o.P.o.: t~sarhso DOMESTIC RETURN RECEIPT <br />