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~. <br />v SENDER: <br />y Complete items 1 and/or ]for addinonal services. <br />y Complete items 3, antl 4a & b. <br />~ • Print your name and adtlr¢ss on fhe reverse of this lorm so that we can <br />d return [his card to you. <br />~ Attach this Corm co the Iront of the mailpiece, or on the back it space <br />tlo¢s not pei mit. <br />m • Wme"Return Receipt Requested"on the mailpiece below the article numbe~ <br />• The Return Receipt will show to whom the article was delivered end the datr <br />G tleLvered. <br />a 3. Article Addressed to: 4a. Ar <br />d <br />'hr. L.eo~a~~ ~.oµkai..a..1 ~ <br />°~ 46. Se <br />E <br />I also wish to receive the <br />following services (for an extra <br />feel <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />a9lo loo ~ i 81 <br />~ ~~elln wx ~r'd S, .~{C•y~Q_ rp, ^ Registered U Insured <br />y I7, C• ~~ '3~ 3 Certified ^ COD <br />w r~/~ ^ Express Mail ^ Return Receipt far <br />CYI S~ CO Q' 7 Y~-C~ Merchandise <br />0 7. Date of DelllX~ery <br />Q 2~ U <br />~ 5. Signature (Addressee 8. Addressee's Address IOn if requestf <br />~ anf"Tee is paid) <br />F <br />Q 6. Signature (Agent) <br />7 <br />O <br />d <br />U <br />.' <br />m <br />H <br />n <br />.~ <br />U <br />Q <br />~. <br />m <br />c <br />.y <br />w <br />O <br />Y <br />c <br />s <br />f- <br />H PS Form ~ 11, December 1991 RU.S.GPO:rGGY-323JOt DOMESTIC RETURN RECEIPT <br />' -_ <br />