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~. <br />o SENDER: ' <br />.°- ~ ~ <br />q • Complete items 1 andlor 2 for additional services. <br /> <br />I also wish to receive the <br />m Complete items 3. entl as B h. following Services (for an extra ~ <br />• Print your name and atltlress on the reverse of this form so roa r we can feel: 'i <br />t9 return this card to you. <br />• Atlach this form to the front of the mailpiece, or on the back i <br />f space <br />7. ^ Addressee's Address <br />N <br />does not permit. <br />O Write"Return Receiptflequestetl'"pnthe mailpiece below [he art~cte number. <br /> <br />2. ^ Restricted Delivery <br />IS <br />•m <br />• The Return Receipt will show to whom the article was delivered and the date <br />o delivered. <br />Consult postmaster for fee. V <br />m <br />v 3. Article Addressed to: <br />m GWEN F~~S~k 4a. Article Number <br />PzS~ Szs' 7~s' ~ <br />E <br />~CjL ~/e0 I`'lDL/NDIN~- <br />/~~ 46. Service Type ~_ <br />^ Registered ^ Insured <br />y <br />~ Certified ^ COD ~ <br />w <br />S Po ~Ox ~vg~ ^ Express Mad ~eturn Receipt for <br />Merchandise ~ <br />~ I <br />// _ qv (~ <br />~ /a ~~G <br />~ ~ 1 ~1 7. Date of Delivery <br />. <br />L ~ I <br />' <br /> . <br />7 C~. <br />/ o <br />~ 5. Signature d R. Addressee's Address (Only if requested y <br />~ and fee is paid) ~ <br />~ <br />f- L <br />~ 6. ure IAgen f- <br /> <br />e PS Form 17, December 7991 RU.S.GPO: tDYy~121~Ot DOMESTIC RETURN RECEIPT <br />P 296 5~5 795 <br />- b1J2C, _~CS <br />Receipt for ;,; yr,~~ ~y~ <br />Certified Mail <br />u _e No Insurance Coverage Provided <br />CJ ,,i±~a L. Do not use for International Mail <br />~ ISee Reversal <br />~ ;~t1eG-WE~v F/ <br /> <br />N a y ,al <br />Sne.t ~NO l70!` ~C~ <br />C P $lai and ZIP Cotle <br />TTLC <br />`' Postage <br />C11 Cerol~ed Fee <br /> <br />r~ ~ Spec~ai Debverv Fee <br />r- Pesmned Delwew Fee <br />W <br />r <br />r <br />~ W <br />' Reiurn Receipt Showing <br />"' <br />41 <br />~ to Wham B Date Detnerep <br />_ <br />-C y <br />C Retwn Receipt Snowing to om <br />D <br />' <br /> <br />M7 ate. and Atldtessee <br />s Adtlt 1 <br /> <br />r iDipl Postage ~ <br /> <br />(h0 B Fees <br />~ a3 <br />~~ POSlmdrk of Dale <br />`rt <br />v~ <br />O <br />QN <br />a <br />aS <br />9o'~a3 <br /> <br />