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~. <br />v SENDER: <br />'y • Complete items 1 and/or 1 for atltlitiona services. <br />O Complete items 3, antl 4a B b. <br />~ • Print Your name and atldress on the revers¢ of this form so that we can <br />O return this cartl to you. <br />• Attach this form to [he front of the mailpi¢ce, or on the back d space <br />tla¢s not permit. <br />L • Write "Return Receipt Requested" on the maiipiece below the article number <br />• The Return ReceiOt will show to whom the article was delivered an0 the date <br />C tlebver¢d <br />v 3. Article Addressed to: 4a. Arl <br />a /~oqu~o+`~0~ ~ ~"y/~ ab. see <br />v J ~7 ~ J/~~ ~/7~ ~J ^ Regi <br />y ~~~ ~n ~/~~ ~ Cart <br />(jV ^ Expi <br />~ 7. Datt <br />O ~ <br />Q <br />Z S' re (Addre e 1 8. Add <br />j and <br />I- <br />~ 6. Signa ure g nt) <br />7 <br />0 <br />m PS Form 3 ~ ,December 1991 AU.S. GPO: 1G62~77}x@ D <br />I also wish to receive the <br />following services Ifor an extra <br />feel: •7 <br />1. ^ Addressee's Address N <br />w <br />2. ^ Restricted Delivery •y <br />Consult postmaster (or fee. o <br />le Number <br />~~ f~03 isG ~ . <br />ice Type <br />eyed ^ Insured ~ <br />ed ^ COD ~ 5 = <br />:s Mail ^ Return Receipt for ~ ' <br />Merchandise ~ <br />{f Deliv ry„ <br />(,ll o ' <br />ssee's ddress (Only if requested Y <br />'e is paid) ~ <br />ro <br />r <br />H <br />