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^' S~NDER: <br />wnppllets items 1 soar- Z for additional services. I eISO Wish t0 rBCBIVB thB <br />~ Com1•LQ items 3, r . 6 b. followir voices (for en extra <br />y Print your home end`Vrass on the reverse pl this 1«m so that we cart fBBI: ~' <br />m return [his card to you. <br />• Attach thin loan to the !root of the mailpieee, or on Me beck if ep•ce 1. ^ Addressee's Address <br />does not permit. <br />• Write"Return Reteiptflequesled"onthe meilpiac•below the article number. 2 ^ Reutr Cted DBIIVery <br />• The Rerurn Recarpt will show to whom the article wee delivered end the Bete <br />e deliverea. Consult ostmaster for tee. <br />° 3. Article Addressed ta: 4a. Article Number <br />9 <br />s` 7 66 i,~~ <br />EaE ~''~: ~Q(.V'd-1i~t-W',Cp ~ti.Q,11 4b. Service Type <br />3 ^ Registered ^ Insured <br />° Z ~ iC v r 't ~~ ~`r`IS 1 ' 2'^~' ~ertified ^ COD <br />P,Q. ~,~ ~~ (7 ^ Express Mail ^ R et the <br />C 7. Date of Delive <br />t 6v key l~ , Cd c~ 1 Y2 7 <br />5. Signature res~eel 8. Addressee's Address Only <br />f- and fee is paid! <br />W <br />6. Signature (Agent) <br />O <br />PS Form 11, December 1991 3 Us.G.P.0.: 1992-307530 DOMESTIC RETURf <br />~. <br />P 179 166 137 <br />V <br /> <br />Res for m - 6 <br />Cer f ied at ~ <br />~ No `r{~~e Cove <br />.«,.:<.r<; Do not use for International Mail <br />ISee Reversal <br /> Sem to ~ `r ~ n9 <br /> Sve~yna I+o <br /> f •! 7 <br />~ P Slale ano ZIP Cote <br />_ <br />U ~ <br />C Portage <br />~ <br /> 9 <br />~ z <br /> Cerldian Fee <br /> '''' <br />Z . ~v <br /> SPeaal Dei~~ew Fee <br /> Resu¢I ~i~+el ree <br /> <br />A Rel eiPl Sn0'41 ~q <br />O 8r 1 0 V <br />d el mA c pp// l0 M1o <br />e al ~. aF?s e s /. less <br /> Fees ~(/ ~ Z <br />z <br />~ _ , <br />/ <br />~ slmalk of Dale <br />7 <br />E <br />` <br />o <br /> <br />n <br />i ~ <br />U <br /> <br />for <br />.Y <br />Z <br />° <br />fn <br />r <br />a <br />.m <br />u <br />0 <br />C <br />3 <br />G <br />a <br />c <br />.~ <br />o <br />w <br />Y <br />m <br />f <br />J <br />