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yh• <br />'y T Complete iteme 1 entl/or 2 for erlAition~l Nrvicx. <br />m Complete items 3, and 4a & b. <br />~ • Print your name antl address on the r4verse of this farm so that we can <br />~'{etmn this care tp You. <br />p •' Attach this /orm to the Mont of the madpieca, or on the back if space <br />~ ifoes not permit. <br />L • Write "Return Re<eipcRequested"on the mailpiece below the article number <br />• Th¢Return Receipt will show to whom the article was delivered and the date <br />~ tleliveretl. <br />a 3. Article Ad~dre~sse~d/~to: 4a. Art <br />I also wish to receive the <br />fO~OW111Q sarVioeS Ifor an extra <br />fee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />o r /' ^l ~~~n~~J~ ^ Registered <br />V (,(J (T~ <br />yl 0 Certified <br />w ^ Express Mail <br />^ Insured <br />^ COD <br />^ Re[urn <br />7. Date oJ.(telivery~~ <br />and fee is paid) <br />m <br />t) <br />.~ <br />N <br />a <br />.0 <br />ti <br />O: <br />tal <br />c <br />:eipt for ~ <br />se e <br />requested Y <br />c <br />m <br />t <br />H <br />Wt YOr <br />