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iii iiiiiiiiiiiiiiii~ <br />S~®~: <br />V • Complete items Land/or 2 for atltlilionat services. <br />rn pnple:e items 3, aa, and an. <br />h •~rinl your name antl atltlress on Ih¢ r¢verse of this form so that we can return Ihis <br />card to you. <br />N . Attach this form to the Ironl of the maJpiece, or on IM1e back if spaco does not <br />4ermit. <br />~ • Write 'Return Receipt Requesretl'on the mailpiece below the anicl¢ number. <br />L • The Reurn Receipt will show to whom the adicle was Oeliveretl and the dale <br />tlelrvered. <br />0 /3^,,A,rticle Adddressed toe: /~ 4a~rticle <br />(~I `J 46. Service <br />~~D ~OI/ ~59 ^ Registered <br />Y ///111 ^ Express Mail <br />~~ ~ n ~O g (2~ ^ Return Receipt for Merchandise <br />0 l.C 7. Date of Delivery <br />5. ceiv d 8 ~ rent Nam <br />t- <br />6.~Si ature:(AddresseeorAger <br />Ir <br />.= f SlteFm 891, December 7994 <br />fb_ _.. _. <br />and tee is paid) <br />102595 9a~B-0229 <br />I also wish to receive the <br />following services (for an <br />extra tee): <br /> <br />7. ^ Addressee's Address ti <br />°- <br />2. ^ Restricted Delivery w <br /> <br />Consult oostmasfer for fee. n <br />.~ <br />m <br />E <br />^ Certified <br />^ Insured ~ <br />^ COD ~ <br />0 <br />requested a <br />c <br />ffl <br />