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;; SENDER: <br />~ •Complete items r anNw 2 far additional services. <br />ar •Complete items 3, 4a, arM 4b. <br />n • Prim your name and address on the reverse of Ihis form ao that wa <br />Wrd to you. <br />~ •Adach this form to the horn of the mailpiece, or on the back it space <br />m permit. <br />m •Wdte'Retum Receipt Repuested' on the mailpiece below the anicle <br />$ •Tne Refum Receipt will show to whom tho snide was delivered and <br />~ delivered. <br />O <br />d ~ .Article Add torn ^ <br />~o~~ r V'~'vU C~~j~4. <br />PO ~ ox. G y.co <br />,LL,I~QX1D ~ ,~~5~~ <br />~ 6. <br />0 <br />T <br />W <br />,December 1994 <br />1 <br />Ci <br />0 <br />C <br />i <br />+~ <br /> I also wish to receive fhe <br /> following services (for an <br />can return this B%Ira fBB): <br /> <br />does not <br />t, ^ Addressee's Address r <br /> <br />2 <br />number. 2. ~ Restdded Delivery in <br />the date <br />Consult poshnaster for fee. <br /> Y <br />4a. Article Number w <br />~5 ~.5 <br />4b. Service Type ~~~• ~ <br />d <br />^ Registered ~Certified~ ~ <br />^ Express Mail ^ Insured ~ . <br />^ Return Receipt for Merchandise ^ COD <br />7. Date of Delive q <br />~ <br />o <br />~~~/ <br /> T <br />B. Addressee's Address (Only i! requested ~ <br />and (ee is paid) i <br /> F <br />P . 5 ~,~~30 915 <br />'" , p <br />~ ~ <br />ip r Certified Mail <br />nsu a Coverage Provided. <br />oof a for Infemational Mail /See reverse) -+ <br /> W <br /> W <br />rest 8 Number ~ <br /> <br />Post Office, State, 6 ZIP Cade ~ <br /> <br />Postage <br />a 1sy <br />~ <br />CeruLed Fee 3 <br />Spedal De~Feq^~ ~ <br />, IV <br /> ~~ <br />f <br />Rea . Fee "ka Cj7 <br />r ~ <br />~ Reform ecwpl Sfnwing to Q <br /> <br />Yilpin 6 Date Dei <br />.~ ~ <br />E Rerun~~q N <br />Date; 6lddeaee's Mtyes <br />~ TOTAL:Poafaged Fees _ <br />~ <br />~ •~ ~ n <br />Posbnarkm0` <br />$~ <br />_ Q <br />_ <br />, W <br />i O <br />t O <br /> <br /> W <br /> <br />