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e SENDER: - <br />4 • Complete items 1 entl/or 4 for additional services. I a150 Wlsh t0 redeive [he <br />~ • Complete items 3, and 4e & b. following Services (}Or en extra o <br />ymj • Print your name entl address on the reverse of this loan so that we can feel: <br />m return [his card to you. O <br />O • Attach this loan to the Irons of the mailpiece, or on the back it space 1. ^ Addressee's Address N <br />does not permit. <br />m • Write "Return Receipt Requested" on the mailpiece below the article number. <br />~ The Return Receipt will show to whom the article was tlelivared entl the date 2. ^ Restricted Delivery m <br />CO delivered. Consult ostmaster for fee. °m <br />y 3 article Addressed to: 4 Article Number <br />m ~~rd Cuvr~[ <br />° e 4b. Service Type m <br />~' ~'"'^~v,~~r I ^ Registered ^ Insured ~ <br /> q,( Certified ~ ^ COD 5 <br />~y-~ <br />~ 1 1 1 I ~ ~ gpy5q ^ Express MSf ^ Return Receipt far ~ <br />~ W <br />/ Merchandise <br /> 7. Date of Delivery w <br /> <br />_ o <br />o <br />gature IAddresseel 8. Addressee's Address (Only if requested Y <br /> and tee is paid) ~ <br />m <br /> <br />tature IAgentl t <br />~ <br />~ - -~ <br />0 <br />MPS Form 11, December t99t A U.S.G.P.O.: teB2-3a1~53a DOMESTIC RETURN RECEIPT <br />