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S <br />f <br />• <br />n <br />a° SENDER: <br />'m Complete items 1 and/or 2 for additional services. <br />e • Complete items 3, entl M 6 b. <br />~ Print your name entl etldrsaa on the reverse of this fortn~so that wa <an <br />Tatum nn! cab to yeu. <br />O • Attach this forth to the /root at tM meilpiece, ar on the beck it apace <br />~ does not permit. <br />t • Write"Return Receipt Requested"on the meilpiece lrolow Mearticle numbs <br />• The Return fleceipl will show to whom the enicle wee delivaratl end the tlet <br />tlelivered. <br />a 3. Article.Addressed to: 4a. At <br />~ 1' V- <br />• E L~O.VRRA• YORST 4b. Se <br />° ~ I I yf Co, itd• S 7 ^ Re4 <br />° <br />y f~ Cer <br />/'~aY~~ _ <br />C l 7. Det <br />a <br />Signature (Addressee) B. Adt <br />F end <br />~ 6. Signature (Agent) <br />° <br />~ PS Farm 3811, December 1991 eu.s. cpo:lwa-asz-7te ~ <br /> i <br /> <br />I also wish to receive the i <br />following services Ifor an a:tra Y <br />fee): Z <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery o <br />Consult postmaster for fee. o <br />le Number ~ <br />Yob 893 ~ / ~' <br />ice Type . . <br />¢ <br />:ered ^ Insured ' <br />ed ^ CDD ~ <br /> <br />ss Mail ^ Return Receipt for a <br />~ ; <br />Merchandise ; <br />'%D~I%~ef~ <br />~ o <br />` f <br />° <br />9 <br />~.v.~r >3 <br />ssee's Address (Only if requested Y f' <br />le is paid) ~ 1 <br />m <br /> F <br /> a <br />MESTIC RETURN RECEIPT <br />• <br />