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n. <br />v SENDER: <br />'y • Complete items 1 antlror 2 (or additional services. <br />N Complete Items 3, and 4a & b. <br />~ • Print your name and address on the reverse of this lorm so that we can <br />a) return this card to you. <br />• Attach this form eo th¢ Uont of the mailprece. m on the back it space <br />does not permit. <br />~ Write "Return Receipt Requestetl" on [he mailpiece below the article number <br />'• • The Return Receipt will snow to whom the article was delivered and the date <br />G delivered. <br />b '3/. Article Ad~d"ressed to: 4 Art <br />5 <br />I also wish to receive [he <br />following services Ifor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Insult oostmaster for fee. <br />E (~~4/rrA L.IJU~ A~~r^ ~/,~/,TiYgC ,Q• 46. Service Type <br />o U q / ~ Registered ^ Insured <br />H //a~ r /J~q2~ ~U~ huj( ~n ~~~, ~~Certified ^ COD <br />W / ~ ^ Ex~res~ Mail ^ Return Receipt for <br />¢O ~ ~~~ ~' ~O/'AG~ a=pcf (~~ Merchandise <br />~ ~ / I , ' 7. ,~te of Delivery <br />~ •°~3 <br />5. igna[ure (Addressee) 8. Addressee's Address (Only if reques[f <br />and iee is paid) <br />H r ~ <br />6. $ignatur IAgen ~ y ~ 7 <br />7 C~ <br />m PS Form $11, ecember 1991 eU.s. GPO: tDYe-a2a~ox <br />~ DOMESTIC RETURN RECEI~ <br />,~ P 296 60$. 02 <br />°'`~ li <br />Re i y~~ <br />ifie f <br />~ Lr No I~~~~!!r~t Coverage Provided <br />j .`~~~,'~i DofrillR'use for International Mail <br />~ - ISee Reverse) <br />~ `. <br />U <br />v <br />n <br />V <br />C <br />Ql <br />U ~ <br />:J ~ <br />7 O <br />. O <br />h ~ <br />rr fh <br />!o <br />.LL <br />.N <br />NnlpLr Ork ) 1-aYl e~e~ <br />Wc'r~F~'" ~ ~~ , rr v <br />F Ad. <br />v 9aie and La C~tl <br />~ ~ oyy6 <br />Postage <br />Ceridied Fee <br />SpeOdl Daln'erv Fee <br />flesinprep Delivery <br />Pcrmn flece~pr SM1Owi <br />iD Whpm 8 Dale D <br />Realm fteee~pl Sno mg <br />Dare, and <br />A <br />tl <br />tl <br />rCSSe 's A 0 TT <br />((1 <br />. <br />(/ <br />~ <br />fi F225 ~dlVrll f 1 ine 0010 <br />9Y <br />Posimaar or Dare ~ v`,r' <br /> Q~i <br />0 <br />U <br />.~ <br />N <br />6 <br />•Oi <br />U <br />m <br />_¢ <br />c <br />5 <br />-m <br />c <br />.y <br />~~ <br />O <br />t y <br />c <br />L <br />:F <br /> <br />