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<br />Y <br />SENDER: Camplate items 1, 2, 3, end 4. <br />Add your address in the "RETURN TO" space <br />on reverse. <br />(CONSULT POSTMASTER FOR FElS) <br />r. The foliowiog service u requested (check one). <br />I~Slaw to whom and date debveted .................... -t <br />^ SMw to whom, date, rind address of delivery.. -t <br />a.^ RESTRICTED DELIVERY _.6 <br />(71¢ nsrneNd drlnrry fee ie cAarged in addlrirn ro <br />the nrurn nerep~ec) <br />TOTAL l- <br />~. aauttysseura <br />all n l,yoel ~oa.nTy Cbrn^'' <br />~x Sys <br /> <br />a rrre os nmmvtce: Y 7 9 3~'1 Y J~ <br />^ txatat® <br />^~ 9~Y <br />^~ ,~ <br />( abfeln etyu4trs of eddreaaee or epsnq <br />I VO CYtlYtd the astrie dnessbed above. <br />810NATURE ^ Addrtsx ^ Aothmued agent <br /> <br />0. ~~ ~ <br />ggC <br />7 <br />~ <br />t 1100RF>~7Aa01r (0(r Ynlrendr 8~ <br />add ~y <br />,.:.u.t~roaarvm.Erwt~ ,. <br />i <br />r <br />2. 3. and 4. <br />n the "RETURN TO" space <br />(CONSULT POSTMASTER FOR FEES) <br />t, 'ng aervicer regoe+ted (check ox). <br />Show b whom rind dote delivered .................... .6 <br />^ Slaw to whom. d•tq and ~~'~ of delivery.. -~ <br />t. ^ REST'RIC)MD pgI,IV&RY ~ <br />(7rre nyericfed deL'ree/ fee k cJiar/ud In add44n ro <br />rht nrum ncrlpl fs) <br />TOTAL fi_~ <br /> <br />p79 ?y7Y 8 <br />coo a ~ l <br />>x atme W,a.,F.......-~. - <br />^ Addt/Y/tee///~ /^~ Autbor+sad sgmt <br />r\ / \ // 1 ///) <br />L <br /> <br />