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^' SENDER: <br />° <br /> <br />Y Complete iroma 7 eM/or 1 for edQ'timel sen.ices. I also wish to receive the <br />° Complete name 3. end Ie 8 b. following services (for en extra ° <br />• Print your name and eddreee on the ravar•e of this form so that we can feel: ' <br /> <br />° return thi• certl to you. ~ <br />o • Attsch this form to the front o/ the msilpiece, or on the beck it space 1. ^ Addressee's Address y <br />i does not permit. <br />° • Write"Retum Receipt F{eouested"onthe meilpieee below the ar <br />« <br />ticle number. <br /> <br />2. ^ RBBtrlct0d DBIIVBry <br />Try Return Receipt will show to whom the article wee daliveretl and the data <br />c delivered. ~ Consult ostmester for fee. e <br />p 3. Article Addressed to: 4a. Arti cle Number tt <br />co, <br />Sonnet-s~ef ~.,,.. P 1 ( 2y s <br />~ 4 <br />i <br />T <br />S <br /> <br />P ~, ~ O~ S'~~` erv <br />ype <br />b. <br />ce <br />^ R istered ^ Insured <br /> <br />rn <br />{ CD ,! 77 <br />J~O Nt 2r 52 <br />g(- <br />7 Y <br />i'1 Certified ^ COD ~ <br />.Q <br />~ <br /> I <br />f ~ ^ Express Meil ^ Return Receipt for <br />~ Merchendis <br /> 7. Date oT Delivery ~ <br /> s <br />s 5. $19nature IA dresse 8. Addres <br />Address (Only if requested <br />P and fee is paid) e <br />W L <br />a 6. igneture ( gent) ~ f' <br />c u.s.G.v.o.: taez-ao~-sso DOMESTIC RETURN RECEIPT <br />