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<br />v SENDER: <br />q • Complete name t and(ar 2 for atltlrtianal services. I also wish to receive [he <br />p • Complete items 3, and 4e 8 b. fOIIOWIng SerVlceS (f Or an extra p <br />la <br />• Print your name and edtlress on the reverse of this loan so that we can feel: ' <br />p return this card to You. <br />• Attach this form to the Irons of the mailpiece, or on the beck i <br />t space <br />1. ^ Addressee's Address ~ <br />y <br />does not permit. <br />• Write "Return Receipt Repuestetl" on the mailpiece below the article number. <br /> <br />2. ~ Restricted Delivery- <br />6 <br />. <br />• The Return Receipt will show to whom the article was delivered and the tlata <br />c delivered. <br />Consult postmaster for fee. U <br />p <br />~ 3. Article Add~repss'ed, ~toJ:',, ,, V 4a. Arti le Number C 7 <br />/~ ~n p (, I~ <br />OVv~~ 1 l.~ C ~ <br />~U <br />f~ <br />f 4b. Service Type <br />^ registered ^ Insured o <br />~ <br />y ~g' ~ V <br />~ <br />7 <br />. C,. (ter dCe Cified ^ COD , <br />W <br />~ / /~ Q'1'~/~ <br />1J 1 <br />`I ^ Expt~ss Mail ^ Return Receipt for <br />Merchandise ~ <br />~ f <br />l-Cl 4 <br />- <br />C Dale of Delivery w <br />C 8 ~ <br />0 <br /> 5. ignat r (Addressee) 8. ressee's Address (Only iF requested ~ <br />H ~ L <br />23 an fee is paid) ~ <br />m <br />~ 6. Signature IAgentl F <br />a f S Form $ 71, December 7s97 Qu.s.cPa~i a.+atau DOMESTIC RETURN RECEIPT <br />~_ <br />Z 4L6 876 5L3 <br />~`~ Receip8(J6iC. <br />Certifi`~~~+{ M~ay-7 ~ ,J~~j <br />No Insura~~QQI e'Pr~ug7C)lJ <br />Do not Use for In~~r~Jo nM <br />r°"~"~ (See Reversal Ux~ <br />~ s .. <br />m <br />reel and 1 i / nV\ ~e ~ ~.+ 1 <br />p W G 1Jt/7 'fie l <br />~ O . Siaie and ZIP Co QI~/,' <br />O o'~~~~ff <br />~ Postage <br />o ..C~ c: <br />L Cerldied Fee <br />LL _ _ r.._ 1 <br />Return Receio~ SM1d11tip.-~' <br />to whom 8 Dare Deliveretl <br />Reimn Rece~pr Snowing ro Whom. <br />Dare, and Add~esue's Address <br />iOiAL Postage 6 <br />& FBee i <br />Posmark o~ note <br />