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a SENDER: <br /> Y •Complete dsma t a"or 2 for additional sarwcae. I also wish to receive the <br /> w •Complete items 3,4a,and 4b. following services(for an <br /> •Prim your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. ai <br /> wAdach this form to the trom of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address <br /> permit. <br /> awrite'Retum Receipt Requested'on the maifpiece below the anice number. 2. ❑ Restricted Delivery y <br /> -The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. Consult postmaster for fee. a <br /> O o <br /> 3.Article Addressed to: �� er <br /> Mr d.A�Qz� (�^JO�l <br /> 4b.Service Type 0 <br /> ❑ Registered Certified p <br /> ❑ Express Mail nsured 5 <br /> 0 w <br /> � �n QO [3Retum Receipt for Merchandise [ICOD <br /> OO VV 7.Date of Delivery <br /> 5.Received By: (Print Name) S.Addressee's Address(Only i/requested <br /> :--4 F' and fee is paid) <br /> g Signah.1% dd sse or Agent) <br /> 0 <br /> T <br /> w <br /> Ps Form 381 ,9&embar 1994 Domestic Return Receipt <br /> DMG-1313 Sherman Rm. 215 Denver CO 80203 <br /> m <br /> m <br /> ru d . <br /> Ir 0� H <br /> C3 N a,i o � g <br /> to UmE a a 8 1 y <br /> Zm y z P 0 sya iA <br /> O .. Oad <br /> % 9661 I!rd`d'OOs£�Od Sd <br /> �y� <br />