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• Codtple[e items 1 andlor 2 ttr additional ^ ces. ', ~'~° °-"• -- ~ --- ~ ~~ - .5d F'i h TI II! 3A ' 91 15: et.
<br />• Complete items 3, and 4a & 6.. ~ ~ following services (for. an'extre •
<br />• Print your name and address on. the ~rever~ this form so fee):
<br />:hat wa can return this; card to yeu.. ~ '
<br />• A~ttacb this forrn,to the fro~ol.che mailpiece, or on the )• ^ Addressee"6 Address
<br />beck iC space does rioi. peimi ..YY ~ ~ ~ .
<br />• Writer"R'eturn~ReCelpt Req ~es ed" on the mailpiece next to Z•~ ^ Restricted Delivery
<br />the arti[ae numtierl .: ~ ~ Consult - ostmaster for fe0i
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<br />Gold~~,. ~` OOd01
<br />^ ~Fxpress Mail ~. Re[urr. Reteipt~for
<br />chandi
<br />.. ~`,~ ~;. ' ~ 7. Dato ofl Delivery ~ : ~. ;'
<br />S+gnatura~ (Addraatael=. .' B.~ Addres-see'¢Addrese (Only ifrequeste
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<br />• ~ r•„~, qty. 4 , '4'a ` ni 1~.,
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<br />Vi'i' ~i`'xY''F"°` ~ ~. ~' ~'" °~ ' $
<br />. _",.~ r 46.. Service TYp9`ty~~~ .'.1,..,;y... .
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<br />^ Registered ..~ Insured
<br />,Y.rp~~. ~ .S~ Certiti~d~ C COD
<br />_ , w •:.,L ~ ~J Express Mari ~ ^ Return Receipt tor.
<br />I- + _ Merchandi4,~__
<br />i ~. Date dl DehvarN 1eO~
<br />.41 :,-~teeo~ _~~~ ~- ~8. Addre AQtR Address !Only i}requ~~ted
<br />antl feo s paiol -
<br />~'^ i- C. c ~r tS9J~~. ~„ cFCJ.aa4.-s>aaet pOMESTIC RETURN RECEIPT
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<br />• -~ + Vte•r h J : ^ I <; a h. follu,ving ,brvices Ilor sn extra
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<br />r.a :wit ~:+.ys mnJp:~-;;o, c„ an the )• ~- Addressee's Address
<br />~• , r.: ~ .~l 'aq ~°~~~i' wt the md.ipiB69 next to 2• '~ Resth~[ed Delivery
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<br />,° •c~~i~t .~:~rl °ia'.~s~a. I `-"`51 QIJV~¢•~v
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<br />' ~ Regrstered . ~ ^ Insured
<br />.. .,. CL~ ~+00,7 ~ I ~Certlt'ed ^•COD
<br />f ~6yvr ass Mail ^ Return Receipt for
<br />v Mer n ise. _ _
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<br />~. Dale of ~~nllvary ,
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<br />_~..,',, ; -. ~ L4L- ~ B. Addressee's Address (Only if requested
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<br />~'S -•. ~~~:~ 'd r'i ~_ . ~~t.-~~t~s ~,u.a 4~•'o iea~-asset DOM@STIC RETURN RECEIPT
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