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.aclrucn:- -~ ' <br />• Complete name t endlor Z for etlditional services. <br />' Complete iteRls;3~.end 4e.&b. - <br />• Print your nbme`end eddieca on, the}averse of ,thin lorm}io`irie{ we~ceti <br />return ]hie card tutQou. .' ~ ~ " ~ . ~" -'q" <br />• Attach this form"to the front o1 the meilpiace.;rSr on'tha.b ck•ifspaca <br />dpBe npt pefmit '. ~ ~ ' <br />~' • Write"Return RaceiptRgptasted"on tiha mailpieca below the ertitle'numbi <br />• The Return Receipt Fea will provide you the cieneture of the person Aelivri <br />to end-tha deW of delivery. <br />3. Article Addressed to: 4a. Ai <br />/fir Van cc R~r"l1s' <br />I also wish to receive thew' <br />'following services,lfor en extra <br />keel:- ` :.~°~:. i'': <br />r ~ <br />1. ^ Addres'see`s Addres <br />~ M <br />2. Q Restricted Delivery <br />Consul[ Dostmaster for Tee, i <br />70 ~~ <br />' 4b. Service Type <br />FL~ ~, ~~ ~,.,x' ~ ^ Registered ^ Insured <br />• (r / j/ `/~, ! Certified ^ COD <br />~O/~VDf!!-(/!Il P ~~ `O~Ov ^ Express Meil ^ Return Receipt for <br />Merchandise <br />7. to of Delivery <br />~ 5. Signature (Addressee) 8. ~dressee's Address (Only if requested <br />and fee is oaidl <br />