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iii iiiiiiewiiiiiii <br />999 <br />^. <br />o SENDER: <br />0 <br />y Complete items 1 antl/or 2 for atlditionel services. <br />y • Complete items 3, and 4e 6 b. <br />~ • Print your name end address on the reverse of this form so tMt we can <br />m return this card to you. <br />m • Attach this form to the front of the mailpiece, or on the back if space <br />does not permit. <br />y • Write "Return Receipt nested"an the mailpiece below the article number <br />r <br />• The Return Receipt ~ w to whom the article was delivered and the date <br />~ delivered. <br />v 3. Article Addressed to: 4a. Arl <br />a Ci'~~ W~!'S Z L <br />1 also wish to receive the <br />following services Ifor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />4b. Service Type <br />o lOln3 QUJ V1Ce Ave ^ egistered ^ Insured <br />y <br />U <br />.' <br />0 <br />N <br />n <br />.~ <br />6 <br />c <br />d <br />NI I~~y ~ t~pr ~ / J'~ Ot'1zJ"~f_ ~ertified ^ COD ~ c <br />w Ii.~,IJ~ lti~ CYJ ur-'--)" ^ Express Mail ^ Return Receipt for ~ <br />~~ ~~ <br />5. Slgnatur~ a (Addressee) <br />0 <br />r <br />A <br />6. Signature (Agent) <br />9U.5. GPO: lYD3-357714 <br />Merchandise w <br />7. Date of D livery <br />0 <br />/~~-~ <br />T <br />8. Addressee's Address (Only if requested Y <br />and fee is paid) ~ <br />y <br />t <br />H <br />