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~. <br />4 SENDER: <br />y • Complete items 1 and/or 2 for addibanal services. <br />y • Complete items 3, end 4a 6 b. <br />o Print your name and address on the reverse of this /orm so the[ we can <br />~ return this card to you. <br />` • Attach [his form to the front of the mailpiece. or on the back it space <br />tloes no[ permit. <br />_ • Write "Return R¢caipt Requested" on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delrvgretl and the date <br />C delivered. <br />v 3. Article Addressed to: 4a. Artic <br />T vr~ t--fav+ley a <br />4b. Sark <br />E <br />I also wish to receive the <br />following services Ifor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />o ~~Llt vl -~~ ,^~/Rrgistered <br />o ~'/~ r W S-7~ry ~ L7 Certified J <br />W lJ L.7lJ 1 V`-~ <br />~~~ ~ //~ ^ Express <br />~ ~ ~ W OV~p~D~ 7. Date of eli <br />Q <br />R 5. Signatur (Address I 8. Addressee' <br />~ and fee is pat <br />h <br />~ 6. Signature IAgentl <br />S PS Form 1, December 1991 ou.s.cPO:aexr-assat+ DOMESTI <br />7 <br />7 <br />V <br />JO <br />U <br />7 <br />t. <br />(U <br />r' <br />P 296 07 977 <br />Receip or ~°~--~ <br />w Cert•' iM-83a~1 <br />No Insul~'~pce oA~i6~ <br />Do not ust~br I ern~r~onal Mail <br />~~~~~ ISee Reversal ~ Y~'.~I~ ~ <br /> <br />se <br />Z~ <br />.~•e <br />S a lntle _~ <br />nOSla e 4~ <br />Ce~l Aiee <br />~~ <br />Soeual Delivery FeP~\ <br />flesmc~e rv Fce <br />fleimn ReceiO~ Snowing <br />io Whom & Date pewer¢tl <br />fleium Rec (S bw nq-ke'wnom. <br /> <br />TOTAL osl a /h ,Li <br />8 F <br />~T <br />ees <br />Postm rk o D ~-' <br />y5~ <br />~~ <br />G <br />~~ <br />m <br />d1 c <br />•nl <br />V J`-0 <br />Iy <br />L~ <br />for <br />0 <br />v <br />.~ <br />H <br />6 <br />.~ <br />V <br />O <br />Q <br />c <br />m <br />a <br />rn <br />c <br />.y <br />J <br />w <br />O <br />e <br />y <br />t <br />F <br />