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iii ii~iiiiuiiii iii <br />o SENDER: <br />Completie i[ems 1 atrdfa 2 for edditi®61 axvioef. <br />1 also wish to receive the <br />~ Comple[e Trams 3,antl fa la e. ~ow.ing services ((or an extra <br />w Print yauF name and address on the reverse of this farm sq chat we can ~1ee}; •> <br />p RtUN rhiS'LBrd to y0o. <br />]f <br />• Atteth thre form tolhe from of the mailpece, aranthtr bacypfa ce <br />a <br />~ <br /> <br />1,Addressee's Address <br />m <br />y <br />p does net permit. ~ . <br />"~ <br />_ ~?~ rice"ReturrtPeceiptRegaes[ed"onttlBmailpiecefwk4vfheartiClenwritKf. y, Restrictetl Delivery •m <br />nROCeipl wAl show to whpm the article wesdelivercd epdshe dire <br />dellvere <br />Cans oslmester for fee. <br />3. Article A re@sed to: 4a. <br />Arti be <br />r <br />c <br />le <br />Num <br /> <br />"~ 6 p <br />~ <br />t <br />7•~ <br />p <br />g <br />r 00~ /7~ l/S <br />E <br />~. <br />/' <br />%~AIJDIYVa try fylf~lt7r~ 4b. Service <br />~ ¢ <br /> ^ Insured <br />^ Registe[e <br />6i <br />~qQ ~ S• WIN .~Certitied ^ COD 5 <br />tyir ~- /~I 1L <br />TTI~ <br />fON CCU Q~'ZO <br />¢ LI ^ Express Mail ^ Return Receipt for <br />Merchandise 7 <br />w <br />. <br />. <br />G / 7. Date of1YE 'very <br />Q r` D e ~ c <br /> <br />5. Signature fAddresseel ~~ ~ r <br />8. Ad ress Address (Only if requested~,ar <br />I and fee i ,aid) <br /> <br />