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~. <br />v SENDER: <br />'y Complete items 1 anOror 2 for additional services. <br />O • Complete items 3. antl 4a & b. <br />• Print your name and atltlress on the rev¢rse of this form so that we can <br />of return this card [o you. <br />O • Attach this loan to the iron[ of the mailpiece, or on [he back if space <br />m does not permit. <br />t • Write "Return Receipt Requestetl" on the mailpie<e below the article number <br />• The Return Receipt wdl show to whom the article was delivered antl the tlate <br />G delivered. <br />v 3. Article Addressed to: 4a. Article Number <br />NCIG P 296 602 754 <br />n 4b. Service Type <br />e C/0 PETER MATTHIES ^ Registered <br /> <br />y 0364 STORM KING ROAD <br />~ <br />Certified <br />wl NEW CASTLE CO ~t647 ^ Express Mail <br />~~~ <br />Signature IA res <br />I- <br />6. Signature IAgentl <br />~ PS Form 3a~ 1, Dec <br />nU.a. GPO: tYY2-82>Wl DOMESTIC RETURN RECEIPT <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 />^ Insured <br />^ COD <br />^ Return Receipi for <br />~ S/5 <br />and fee is paid) <br />V~ <br />!` <br />ml <br />N <br />n, <br />.~ <br />U <br />R~ <br />c' <br />Q <br />cl <br />.; <br />wl <br />0 <br />Y <br />c <br />m <br />H <br />