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III IIIIIIIIIIIII III <br />999 <br />^' SENDER: <br />m I also wish to receive the _' <br />9 • Complete items 1 and/or 2 for additional services. <br />H Complete items 3, and 4a a b. following services Ifor an extra <br />~ • Print your name and address on the reverse of this form so that we can feel: 'a <br />m return this card to you. ~ ~ <br />• Attach this form to the Iron[ of the mailprece, or on the back if sp>,pa, 1. ^ Addressee's Address y <br />does pot permit. 1" <br />Y • Write"Return Receipt Requested"on the mailviece below the aniNEl~umber. 2 ^ Restricted Delivery ~' <br />• The Return Receipt will show to whom the article was tlelivered an the date V <br />c delivered. Consult postmaster for fee. m <br />v 3. Article Addressed [o: 4a. Article Number <br />m P ~a0 /7D 628 <br />n -f- ~jdrr[c ~o• <br />E SON(efJe J 4b. Service Type ~ <br />~ 7~~ SJ~X ~.3r ^ Registered ^ Insured ~ <br />SO r1r Lwr e~ CO ~/ Y 3 y <br />s. <br />~-Certified ^ COD 5 <br />^ Express Mail ^ Return Receipt for ~ <br />Merchandise e <br />7. Date of Delivery 'r- <br />/a - /- 9a ' <br /> <br />8. Addressee's Address (Only if requested s <br />and fee is paid) c <br />a <br />L <br />F <br />tT U.S.G.P.O.: /992-007-530 <br />~ .~ 1 <br />1 "( P 860 17l] 628 <br />Certified Mail Receipt <br />l.t No Insurance Coverage Provided <br />I ~ Do not use for International Mail' <br />:~ <br />C <br />O <br />O <br />a <br />c <br />C <br />C <br />A <br />P <br />F <br />tf <br />u <br />a <br />(see Reverse) r ' <br />m to <br />o et~li <br />Street a No. <br />Po flux 3~ <br />P.O., Slate a 2IP Cade <br />So~rer~e-l-(o ~/~}3y <br />Ppata9e <br />Cemhed Fe. <br />• <br />Special Delivery Fee ~ ^ - <br />Y <br />ReetdcOetl Delivery a <br />1 <br />Rstum Rsceipl Showing <br />', to W hom a Date Delrvered <br />Ralurn Receipt Shavln9 to Whom, <br />I Date, a Atltlmv of Dehvery <br />' TOTAL Rww9e <br />a Faee <br />•Y <br />~ Pmtmark or Oero <br />