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4 <br />• <br />M1 <br />v ENDER: ' <br /> <br />e • Complete itama 1 end/or 2 for edtlitionel eervieea. <br />I a1a0 Wish t0 rBCeiVB thB .4 <br />• • Complete itama 3, entl 4e & b. fOIIOWIng eefVlCee (for 8n 0Xtr8 Q <br />~ • Print your name end edtlreaa on the reverse of this lone so me[ we can feel' <br />O <br />hi <br />tl t <br />return t <br />n cer <br />Ip you. <br />• Attach this }orm to the front of the mailpiece, or on the beck <br />if space 1. ^ Addressee's Address <br />M ' <br />O tloes not permit. •, ! <br />y • Write"Return Receipt ReQUeated"an Ne meilpieee below theerticle number 2. ^Restricted Delivery is <br />• The Return Receipt will chow to whom the article was tlalivered entl the date <br />G dolrvered. Consult ostmaster for fee. o <br />y 3. Article Addressed to: 4a. Article Number ¢ t <br />m STRTE Of COLD ~ LZ G( S93 8•oZ S :~ <br />E FOR Cor.e/Mf7f WERs <br />r.D of LAruD <br />p 4b. Service Type <br /> <br />^ Registered ^ Insured ~ i <br />; <br />y X300 SHfr0.Mtb'~ ~• Certified ^ COD 5 <br />uyi D ~O ® ~ <br />p 02 <br />0 ~ <br />Ely VE7L ^ Express Meil ~^ Return Receipt for <br />h <br />di <br />M ~ ~; <br />. <br />u <br />~ erc <br />an <br />se <br />~ <br />Q 7. Date of Delivery <br />2_ ~ <br />c .. <br />2 <br />tL 5. Signature (Addressee) <br />8. Addressee's Address (Only if requested ~5 <br />y f <br />~ ~ and fee is paid) ~ ' <br />~ ti <br />F <br />~ 6. Sign gent) ~ ~ F' <br />8 <br />m p5 orm 811, Oacembar t99t eu.s.~ro:t>ro>-ux-na DOMESTIC RETl1RN RECEIPT }. <br />C` <br />• <br />