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111 IIIllllllllll III <br />t- --- - - - -- - - -- -- - - - --- ---. <br />" SENDER: <br />0 <br />4 • Complete items 1 and/or 2 for additional servrcas. I also wish to receive the <br />e Complete items 3, entl as & b. following services Ifor an extra Y <br />m • Print your name and address on the reverse of this form so that we can }eel: <br />i return this cartl to you ~ <br />o • Attach This form to the Iront of the me~lpiece, or on the beck it space 1. ^ Addressee's Address N <br />r does not permit. <br />o • Write "Return Receipt ReRueated" on the mailpieca below the article number. <br />c <br />2. ^ Restricted Delivery d <br />•m <br />• The Return Receipt will show to whom the article was tleliveretl end the date V <br />C delivered. COnaUlt ostmaster for fee. m <br />O <br />0 3. Article Addressed to: 4a. Article Number <br />m G.~...-r J~~<< P~?`I C~e~ db <br />~ !'0bw~u~ Gr.,•.~.t ~~r~ ~ ~d . 4b. Service Type <br />c ~~- ~6X C t d ^ Registered ^ Insured <br />NI /~4 `,_f 4 C~ CU X151--~0 certified ^ COD .q <br />7 <br />T <br />^ Express Mail ^ Return Receipt for ~ <br />Merchandise <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested y <br />and fee is paid) ~ <br />ro <br />L <br />f <br />PS Form dSii, December 7997 n u.s.c.p.o.:tssz-aot-sso DOMESTIC RETURN RECEIPT <br />