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<br /> <br />• Complete items 1 antl/or 2 for additional services. <br />• Complete items 3, and 4a & b. <br />• Print your Hama and address on the reverse of this form so <br />that we can return this card to you. <br />• Attach this form m the front of the ma~lp~ece, or on the <br />back it space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next [o <br />3 Article Adtlressed to: <br />Y C ~ !~, k. ~', <br /> <br />I also wish to receive the <br />following services Ifor an extra <br />feel: <br />1 ^ Addressee's Address <br />2. ^ Restricted Delivery <br />nsult postmaster for tee. <br />4 Article Number <br />1~9 Imo; 5(0~{ <br />4b. Service Type <br />^ Registered ^ Insured <br />~Certdied ^ COD <br />Express Mail ^ Return Receipt for <br />Dale 1of Delivery <br />1' T - ~ ~ y _ (i 1 ' <br />R. Addressee's Address (Only d requested <br />and tee is paid) <br />~o U. S. GPO' 1990-Y]S-B81 <br />RETURN RECEIPT <br />