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v SENDER: I also wish to receive the <br /> <br />m .Complete items lanNOr2 for additional services <br />• Complete items 3. 4a, and 4h. tbllOWln Services for an <br />g <br />d • Print your name and atltlress on lne reverse of lh~s loan so that we can return th is extra fee): <br /> <br />e+ card ro you <br />• Attach this lortn ro the Iron) of me mailpiece, or on the Oack d space does Trot <br />1. ^ Addressee's Address ~ <br />~ •Wri e~l'Aelum Receipt pequesletl'on Ina mailpiece below the adicle number. 2. ^ R2SlfiCted Delivery N <br /> • The Relwn Recegr wAI show to whom the aurae was delrvemd and the dale <br />delivered. <br />Consult postmaster for fee. <br />o <br />0 <br />$ 3. Article AddresseCy(, to: <br />c(J <br />(l ~ . _ Q 4a. Article NUrppe ^~ ~ ~~ <br />L71 JJ /J <br />~ <br />m <br />n 11 <br />IyCQ t I <br />(4J\\ }x <br />] ~Gp,' V / <br />~ <br />4b. Service Type ` <br />~ <br />u d~~ 0 ~ p Il.-!/Z-w-~sr <br />/ <br />I ^ Registered ~enified <br /> / <br />rt ~ <br />/ <br />G i(' ~,Q ~ rP ~I ^ Express Mail ^ Insured <br />^ Return Receipt far Merchandise ^ COD ~ <br />~ <br /> 7. Date of De,~ivery <br /> 0 <br /> 5. R ceived By: ( ri me) 8. Addressee's Address (Only i/ requested Y <br /> ( and lee is paid) m <br /> L <br /> 6. S u e: (Addresse A nr) ~ <br />a, ~ <br />`-° PS For 38 ,December 994 102595-98~B~02Z9 Domestic Return Receipt / <br />" <br />~ P 436 785 346 m <br />C US Postal Service <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Provided. t <br />Q Do not use for In[emational Mail See res e <br />1 <br />~ n o <br />.~ <br /> f ~ <br />OV reef <br />C ~ <br /> P <br />0lfice, te,8 C ~~ . <br /> r <br /> ~~ s <br /> <br />\I <br /> Certified Fee <br />E _ <br />L Spedal Ddive 11V • C~ <br />r~ Restriped F~E, pN <br />eO' R <br />R <br />l <br />ri <br />s <br /> e <br />um <br />or <br />ng <br />o <br /> wham 8 Da surd <br /> Realm Rece~ <br /> Date,B Addassee <br /> <br />. ~ TO7AL Passage 8 Fees $ a:~~ <br />R? Posenark or Dare <br /> <br /> ( <br />