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;; SENDER: <br />~ •COmplete itema t anNor 2 for adtlilional 6ervlc9e. <br />.^ .Complete items 3, 4a, erM db. <br />~ •Pdm your name end etltlrea! on the reverse o11Na form ao that we cerr,relum tfls <br />card to you. - - <br />~ .Math thia lortn tc the hoot of the mailpieca, ar on the back if specs tloea rat <br />pemlit. <br />~ • Wdte'Retum Receipt Requested' on the maipiece below the ankle number. <br />$ eThe Retum Recaq will show to when the ankle was delivered ane the dale <br />C delivered. <br />0 <br />~ 3. Ardcle Addressed to: 4a. Article D <br />a <br />tl~~~ <br />E 4b. Service <br />N -93l (~D~p.Gj~~. ~ ~ per- t <br />~'(. <br /> <br />5. Received By: (Pont Name) <br />w <br />6. Signatu o gymn <br />n X~ Z <br />PS Forpf3$li; December 1994 <br />_rn <br />L <br />A <br />0 <br />m <br />{r! <br />E <br />`o <br />LL <br />f~ <br />a <br />,_is.Pard~,~1 <br />$tl~. '. <br />a <br />4L6 952 465 Z1. <br />Receipt for fray <br />Certified MailC~' w <br />Nb±losriren era a riAV "s <br />~~ Do not use for I~ fr31 ail( f <br />ISee:Rev~rsel.~ ~- <br />s m <br />5 re~~ and No tl <br />S~e~r antl ]iP r~tl+ _ <br />i W ~~ (O~ <br />PcStaya <br />l <br />Ce~o~~ea r.e <br />Soci~ai De.wrr~ ree <br />Pesmcetl Deeotrv Lee <br />Peimn Prcnpi <br />is W~om 6 e Deis w)~. <br />Felmn Pac DI SPn ing 10 W~Om, <br />Dais ano ome ntloirss <br />r DIAL Pi cage ~ ` O <br />1 <br />a tees + <br />Poslmart ~ Da ~ (~ <br />V <br />V~, <br />A <br />S /' r <br />I also wish to receive Ne <br />following services (for an <br />extra feed: <br /> <br />1. ^ Addressee's AdQress v <br />~ <br />2. ^ Restdcted DeI very y <br />ConsuH postmaster for tee. n <br />~l <br />~r <br />G <br />p <br />N <br />O <br />sJ <br />u <br />u <br />~¢ <br />0 <br />`u <br />Certified a <br />^ Insured 5 <br />^ COD ~ <br />f <br />T <br />I requested c <br /> <br />