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~J <br />• <br />4 <br />n <br />SENDER: <br />q • Cgmplate items 1 entllor Z for •ddition•I services. <br />• Complete items 3. end 4a b b. <br />~ • Print your name end address on the reverse o1 this /orm ao that wa can <br />~ return thin card to you. <br />a • Attach this forth to the front of the meilpiece, or on the beck if specs <br />~ does not permit. <br />y Write"Return Receipt Requested"an the m•ilpiacs below the article numbs <br />• The Return Receipt wdl aMw to whom the article wec delivarotl end the tlar <br />C delivered. <br />b 3. Article Addressed to: 4e. Ai <br />s <br />E $--M as s <br />ostmaster for tee. m ; <br />r <br />X93 79~ ¢ } <br />~ s <br /> . <br />4 <br />^ Insured R <br />^ COD ~ " <br />Return Receipt for ~ '. <br />er dise `0 7- <br />r ~ <br />O ~ <br />. <br />((j~70i~ requested ,Y S <br />•~~~ ynB <br /> ~'t <br />m' PS Form 11, December 199t eu.s.~PO: riaod-assns DOMESTIC RETURN RECEIPT <br />t <br />I also wish to receive the <br />following services (for an extra ~ ', <br />feel: Z . <br />O ~ <br />1. ^ Addressee's Address rn , <br />2. ^ Restricted Delivery o <br />v z$,7~ YOVAJ(~EL,D AuE ^ Registered <br />y ~ Certified <br />w .~~q <br />~-AI«UQSb~f1d~Q ~c%CG7~~~. ~ ^Ql~r~#(M <br />~ <br />D 7. Date of De <br /> <br />~¢ 5. Signature IAepoltip¢a N;;; nNd- ~0 yf1g <br />0 8. Addfbrtee <br />ena;le~ie <br />F X <br />1}!?; V, .:~( { <br />2 .5. Signature (Agent) <br />o' <br />