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SENDER: <br /> <br />9 .Complete items 1 and/or Z for additional services. <br />~ <br />I also wish to receive the <br />~ Complete items 3, end 4e 6 b. following services (for an extra i '(. <br />• Print your name and address on the revert- of shit Corm sa that we ten feel: '2 <br />C return this card to you. <br />• Attach this form to the front or the madpiece, or on the beck i1 specs <br />1. ^ Addressee's Address m <br />!n <br />does not permit. ~, <br />i • Write"Return Receipt Requested'onth•meilpiece below the article number. 2..^ RBetrlcted DeliVBry ~ <br />• Tha Return Receipt will show to whom the article wet delivered eno the date V <br />c delivered. Consult ostmaster for fee. m <br />v 3. Article Addressed to: 4a. Article Number <br /> <br />m <br />C <br />/` <br />P l y 6 3 E <br />= <br />y <br />~ <br />Q <br />~O f 0 W <br />~ l Service Type <br />4b R <br />. <br />E <br />J <br />v . <br />o <br />1 y f ~~~ <br />y S 7 3 I S+t~, \~ ~`M~'y 13 ^ Registered ^ Insured <br />^ Certified ^ COD <br />5 <br />V <br />Y~22.k4.ti. C.o S(6 y ( U ^ Express Meil ^ Return Receipt for <br />Merchandise ~ <br />~ w <br /> 7. Date of D liver <br />Q <br />0 <br />R 5. Signature (Addressee) -H' Addre s s Addre s (Only i} requested ~t <br />w r ; <br />, end fee is paid) L -, <br /> , <br />6. Signature IAgentl ~ ~ ~ <br />~ <br />0 ' <br />PS Form 11, December 1991 C U.a.GP.0.:1992-307-530 DOMESTIC RETURN RECEIPT <br />_ t <br />