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d SENDER: <br />•Complete items landlor2lor additional services. <br />° • Complete items 3, 4a, arM 4b. <br />• Pdnt your name antl adtlress on the reverse of Ihis loan so that we can velum tms <br />card to you. <br />~ • Atach this form to the fmnf of the maifpiece, or on the back if space does not <br />t pemin. <br />• Wnte 'Return Receipt Requesretl'on Ine mailpece below the article number. <br />• The Retum Receipt will show to whom the article was delivered and the dale <br />deliveretl. <br />0 3. Article Addressed to: 4a. Article <br />9 7~ <br />!~ / V <br />° ,~N ~T~~~/V 4b. Servicr <br />n <br />I also wish to receive the <br />IoNOwing services (tor an <br />extra fee): <br /> <br />1. ^ Addressee's Atldress C <br />° <br /> <br />2. ^ Restricted Delivery 2 <br />N <br /> <br />Consult postmaster for lee. S <br />3 <br />~D~ o~ sc~pERVr~o,~s ^ Registered <br />. ~,--' I ~n y~n,r~. ~ C.p~~. ^ Express Mail <br />~~ ^c~(~(~~-IFC ! r'R ^ Relum Recei ~i~~ <br />Qr 7. Date of D <br />~ ~E f3 <br />eceived By: (Print me) B. Addres ee' ~Adgress (Qn1yiG <br />~E, ~`~ r'S`-~T and le is ~akl) <br />6. Signature: (Addressee or Agent) \ <br />a x ~ ~,,,/ <br />~ PS For 11, Dezember 1994 102595Ae6-0229 DO f <br />v <br />e <br />~a <br />c <br />9 <br />Certified <br />Insured ~ <br />COD ~ <br />T <br />u sled ,< <br />L <br />F <br />~ SENDER: <br />• Canplge iNms 1 and/or 2 for additional selVltae. <br />•Compkre items 9, 4a, antl 4b. <br />• PMN your tome and atldress on the reverse d rhls form so Nat we can return Ihis <br />urd b yoe. <br />~ • Attach this form to the Iron) of the mallpiece, or on the Dark X soap does not <br />• the 'Aefurn Receipt Requesletl'on the mailpieca below the aAde number. <br />• The RrNUn Receipt will show to whom the article was delivered~d the dale <br />dNNarad. <br />0 3. Article Addressed to: <br />s .~tR.P~Rfl ~, ~-~SCo <br />E Coc,,v~Y ~~~Ka ~PEC,o RV b. 3ervioe <br />° ~AR~C cov>JTy ~~ <br />u piesF <br />{ r` ~r ~Qi~ G-L-v Retllr~~A~ <br />-lA1Rt~c~~ C'cQ ~~1~ Datec)f[ <br />5. Received Bv: (Print Name) 'a nfill <br />~ 6. Sigyatly~(1i~es~e or Age - - ~ <br />= Y i _'' j~~vyJ <br />! /i Form 9911, 0°onlfYw 1M{ <br />i Ie~ is <br />J <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult postmaster for fee. <br />~`o~ ~, y <br />u <br />Z <br />N <br /> E <br />0 <br />Certified ~ <br />^ Insured ~ <br />>r erchandise ^ COD ~ <br />~, <br /> o <br />Dress (Only it reques(ed Y <br />J ~ <br /> f <br />