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n. <br />a SENDER: <br />y, Complete items 1 antl/or Z far additional services. i I also wish t0 receive the <br />tp • Complete items 3, and 4a 8 b. (OIIOWIng sarVlCee I(Of an extra tO1 <br />• Print your name and atldress on the reverse of this form sStihat we can feel: '7 <br />o return this cartl to you. <br />• Attach this Corm to the front of the mailpiece, or on the Deck if s-ace <br />1 . ^ Addressee's Address m <br />y <br />does not permit. <br />~ • Write "Return Receipt Repuestetl" on the mailpiece below the ankle number. <br />$ <br /> <br />2. ^ Restricted Delivery <br />d <br />• The Return Receipt will show to whom the article was delivered and [he date <br />c tlelweretl. <br />Consult postmaster for fee. m <br />m <br />v 3. Article Addressed to: 4a. Article Number ~ <br />e~T <br />nr <br />~" ~ J~~ <br />a <br />t <br />~ <br />E 4b. Service Type <br />J F~ s1N . O~ ~e <br />17 tl ^ Registered ^ Insured ~ <br />N A ~ ~rtified ^ COD 5 <br />uyi p <br />2 <br />U . d, a,>?- S ~ 8 ^ Express Mail ^ Return Receipt for ~ <br />¢Q <br />' Merchandise G <br />Q C <br />~M~ may <br />~ u 1~~~ <br />J I V 7. Date of Delivery ~~ 7 <br /> ' o <br /> 5. ature IAddre Seel 8. essee's Address (Only i( requested Y <br />F '1 ~ s and fee is paid) ~ <br />m <br />W <br />'gnature (Agent) f <br />n..~~/ <br />PS orm 11, December 7997 eu.s.cPO. ae~asz. DOMESTIC RETURN RECEIPT <br />P 296 797 267 <br /> <br />...~ <br />s.. <br />N <br />d <br />0 <br />~(V <br />E <br />C <br />(11 <br />E <br />d t <br />L ~ <br />Cn <br />T <br />T <br />~` <br />S t <br />L <br />1 <br />Rec ~or 3 W <br />Cart (Y ed • --. <br />-~-ir No Instsianc~C~re ~2~Lb'tSided~ <br />~wv...r Do not use for negrn~ ai <br />ISee Reversal <br /> sem m <br /> Sneer t ElV <br /> P 0 . `. ~tl ' P Cane <br /> Ppsl?pe ' C <br />4 <br />S <br /> ~e, ~ erals g <br /> Soec~a! De!nerv Fee <br /> flesvsiea Delnew Fe ~~ <br />~ flewm flccem~ Sn <br /> <br />0 l.. <br />m venom 8 Dale • ea~~ <br /> newm eece~pi Sn w o ppm <br />~ ~. <br />a s H <br />Dille. inn Artless <br />d iOTAI FOSId02 Ct 7 <br />~ g Fees <br /> POSlmdrk nt Dilly' <br /> <br /> <br />J <br /> <br /> <br />L <br />