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iii iiiiiiiiiiiuiii <br />999 <br />r.. <br />SENDER: <br />' <br />4 Complete items 1 and/or 2 for additional se.vices. I also wish to receive the <br />y Complete items 3, and 4a a c. following services Ifor an extra <br />r/• Print your name and address on the reverse of this form <br />m so that we can feel: •~ <br />return this ca~tl to you. <br />••7.itach this form [o the Irons of the mailpiece, or on the <br />back it space <br />1. ^ Addressee's Address <br />N <br />does not Derma. <br />y • Write"Return Receipt Repuestetl"on the mailpiece below t <br />he article number. <br />Z ^ Res[rlCted DeIVery <br />G <br />• The Return Receipt will show to whom the article was deliveretl and the Date N <br />G delivered. Consult postmaster for }ee. m <br />v 3. Article Addressed to: 4a. Article Number ¢ <br />m /72. ~~~~ ~ o,~.Eg /° 29 0 <br />E ,•1 ~~ ~E ~~~~, /~~ <br />c ~ JO f 4b. Service Type <br />^ Registered ^ Insured ~ <br />y ;y~,iy~ Nky ,2 <br />l'~ Certified ^ CDD E <br />w <br />¢ / <br />( <br />' <br />8~9~ ^ Express Mail ^ Return Receipt for <br />Merchandise ~ <br /> ~~ <br />J~ ~ <br />Q <br />1 W <br />~ 7. Date of Deliver <br />a ~ ._ 3 <br />v <br />r <br />¢ 5. Signature IAddresseel 6. Addressee's Address ( my if requested Y <br /> and fee is paid) ~ <br />~ <br />t- L <br />~ 6. Sign a IA e ~ <br /> <br />PS For 11, cem er 1991 eU.s. GPO: tii2--]T3~o2 DOMESTIC RETURN RECEIPT <br /> <br />