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_ •Co~npicw eems f andor 2 for adtlilional serves I zlso ~41sh to receive ttl9 <br />• 'm .Complete items 7, aa, and ab. ~ IOIOWIng SBNiLee ((Or Ri <br />W .Pont your name and atlaress on the reverse of Ihi so Thal we can return Ihie exrm fee): <br />earn to you. <br />~ •Anach tins loan to the hnrt oS the maepiece. or on the Sock 1 space does not ; ^ Addressee's Address <br />~ pernut. <br />y •Wnle'Refum Receipt Requested' on the mailpiece below the article number. 2. ^ ReStrlCted DeIlVefy <br />.The Relum Receipt will show to whom the anicle was tlelwered and the dale <br />c delwered. Consult postmaster fof fee. <br />~ 3. Article Addressed to: 4a. Amcle Number <br />G ~u/C~i2 C~u.~ry ~c'.n/~)/stic ~ . ~ ~~~ <br />~~`~ ` 7 7~ db. Service Typ ? - c t <br />G~ a <br />G m ~.~ '//~)( ^ Registere ~-~~`- ~ertifled <br />~~r r1`_,~~1V~ ~ m ^ Express all/G/ ^~,'~,sured <br />~~ `"_ o ~U/QQZy (._~ ~~~~ ^ AetumR~elpt for ~erdladdise ^ COD <br />~V~ °dG°°~o9r Q 7. Date of D D / ' <br />~M~n°t8~s° Q A <br />`Vtatp40 ~ F 5. Received By: (Print Name) 8. Addressee's dre~~'!r uesled <br />0 w and lee is paid) <br />6. Sign u : ( dresse ~ rA e ) ~~ I <br />r X <br />N <br />. ~ .. ~ - PS For 811, December tssa Domestic Return Receipt <br /> <br />~. <br /> <br />SENDER: <br /> <br />• Complete items 1 andlor 21or atltlitwnal services. I also wish to receive the <br />.Complete items 3, 6a, and db. (OIIOWIng sBNiCBS (fdf en <br />.Print your name and address on the reverse pf this roan so that we can velum this eldra fee): <br />Cdrtl to you. <br />•Adach this form to the from of the mailpiece. or on the Dads if space does not t. ^ Addressee's Address <br />permit. <br />•Wnle'Retum Receipt Requested'on the mailpiece below the anicle number. <br />Q, ^ RBStdcted DBIiVBry I <br />.The Relum Receipt wJl Show Io whom the anicle was delivered and the date <br />deliveretl. Consult pO5lma51er fdr (BB. <br />3. Article Address <br />e <br />d to: 4a. Article Number <br />~ <br />/ <br />~d//ect C.'[7/M'~ ~52iC. ~ , / ./ <br />~~C°~P ~`7 T'S~ r <br />~E'dp t,dEJfy OFF7QE 4b. Service Type ~~~////// -, <br /> ^ Ragisiered 'pyCertified t <br />2A ~ ~/Tt ~/ <br />/ 75U 33 ~ ^ Express Mail /^ Insured <br />~DU~~ <br />~ ~I.~~~~Syci ^ReNm Receipt for Merchandise ^ COD <br />f ~ n.,re ..men,,...,. <br />7 5. <br />w <br />~ 6. <br />0 <br />a. <br />~S <br />and lee is paid) <br />F <br /> <br />