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n. <br />~ SENDER: <br />-y Complete items 1 antl/or 2 for additional services. <br />I a150 wish t0 receive the <br />m Complete items 3, and 4a & b. fOIIOWing aervlCea (for an extra N <br />u <br />• Print your name and address on the reverse of this form so t <br />d <br />hi <br />d hat we can Peal: •Z <br />return [ <br />s car <br />to you. <br />• Attach this /orm to the Iran[ of the mailpiece, or on the back d space 1. ^ Addfessee's Address N <br />does not permit. <br />y • Write"Reurn Receipt Requested"on the mailpiece below the article number. <br /> <br />Z' ^ Restricted Delivery <br />6 <br />•d <br />• Tho Return Receipt will show [o whom the article was delivered and the date <br />o delweree. Consult postmaster for fee. m <br />y 3. Article Addressed to: 4a. Article Number ~ <br />m ~ j <br />Sp IYI Pff ~°~ ~"' Idfti ~~ P ~ ~ ~oz ~s~ <br />• <br />E <br />~ ~ 4b. Service Type ~ <br />~ Po l~oX S3 ^ Registered ^ Insured to <br />H So~erj p.~- ~J ~( L/ <br />~y~ Certified ^ COD <br />i <br />f <br />R <br />R 5 <br />~ <br />w v <br />( eturn <br />ece <br />pt <br />or <br />^ Express Mail ^ <br /> Merchandise <br />~ 7. Da~ •Delivery w <br />Q <br />•j.~_ _ _ ~ <br />o <br /> <br />5. Signature (Addressee) <br />8. r A ress (Only if requested >- <br />Y <br />~ feyLbaid) <br /> <br />( <br />°0 <br />I- lt7 <br />} t <br /> 6. Sig ture IAgentl ~Q!' / F' <br />~ ~ ~, ' <br />y PS Form 71, December t99t au.s.wo:r~aa¢ DOMESTIC RETURN H E <br />IPT <br /> _ <br />