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<br />' • Complete items 1 and/or 2 far additional se lees. - ~ """ "'°•• •- ~---
<br />• Cofnpleta items 3, and 4a & b. ~ following services Ifor en extra
<br />• Print your name and addreae on the raver this Corm so feel:
<br />that we can retufn this Gard t0 you.
<br />• Attach chic form tP. the front of the mailpiace, or on the ~ • ~ Addressea'e Address
<br />back~if "space does nbt permit..
<br />• Wit "Return ROCeipt Requested". on iha mailpiece next to ~~~ .z•. ~ Restrfctad Delivery
<br />th'e~e !ol0~~nuetber. ~ ~ ~ ~ Consult ostmaafei for fee.
<br />3." Icle Addressetl to= ~~~ 4 Article umber - ~~~ n
<br />S7e:~m lrjT1"redr•.l ~ ~, Inc. ~ ~' ~~' 6~~ ~9-11
<br />11 ~a `L1+j 1t 7dt( 46. Service,7ype'
<br />, ^.Registered ~ ~, ^ Insured
<br />"DIf].ti^I'r Cp iJU.. _ 3 !8 Certified O COD
<br />Ficpress Mall. ~ Return Reeelpt for
<br />- M rchandis
<br />7. Dataof ivory .
<br />5.•Signah;re ddress~ee) " '•'t;;r B~'Address+ie;sAddresslOnly,lffequbace0 .
<br />~,t. r~ rc ~.~L4a .~.~+~. ~e~d'faa'Is daidY~.f :a'!•1;F'e,, r.: ~., ;,e, ..~.i
<br />~ ;, ~ jt t.: i-
<br />'~-~'''F~'•' - •. .r tsso' ,eusaeo`rat)o .ir.%ee DOMESTIC:RE,TURfi~,R CEIPT.~
<br />c'e~ ~d';, ~~ r also w~ h) to reczrva+ the .
<br />:.,a' .b, ~,~ ~*~,~ ~ -. ful~viing. services lfdr 'sn• extra
<br />~Sd•+ , •,, sv ulth.> form ~o'~ '`c ~..
<br />feel: •r ~'~ ;
<br />',~ ;;t~•,eh.r0ii{ n r ~ T~o~lpt_ce~oi on.th'e%~; I i • 1:, ^Xddres~s+,_,eC"s Addr e6@, •
<br />. lj,_~.":r~~~~t~:-(.'...~.~ y. f~r,ef~~,,.rr i~~ ~w •,'~'a`y.ex-7r=`}"v`~~
<br />hR~,.uni.• '' on the aifprec~nex r o Z^ ~.1 Ra4tr!cted Detivary.".r..
<br />.. ' .:.5'. -~'::
<br />__.~~~~~.'~~~oneult!postmeste .fu fe*e~$:
<br />' ;. :~~" •Y r ro :•".Yh~ `~.na?~ le hTpmb r!~A,9y'~!'-.."
<br />' ~ . ~`~a'r ! 'r !Af.I°V3Ti~' 4h. ~Sen.~ce TYPe .
<br />..!' .LI r .L) ~G ~.~1 ^ R:gis!erad~jly ^ Insured
<br />I ~ Cert•hed ° ^ COD
<br />~ ^ FxPrass NwII "~ Meetrurn neez'pt fur
<br />. ~) J /J • 7 Dala of belil. ery - -
<br />• 1~1
<br />' ~ ' 'd'~'~I''a, ~' ~ 8. Addressee's Address IOnly d ie~uasted
<br />~'/111I end tea s pa~dl
<br />'" nus oPO.+rsi<a-meet DOMESTIC RETURN RECEIPT
<br />.. . ~. ---... ---- --- - --r-----
<br />' ~' J :r )dJ~;. ~; cl Sena 95 I ~''eo vasty t0 reCBNe [he
<br />' `'~ ~ ~ ~ tii .e R o I tolbvang serviCeS Iror an extra
<br />. ~ _7o:v.s a'~ :'•B rv. ~: ce of this fc: ni so i rgel:
<br />s_rd'n vo„ n
<br />! ~ ., ,~rt ur Iha mJ~~,,'.+ce, -•r qty thn 1. .~ Addressee's Address
<br />• , ~.• °rquestec' '.•.e •p~re Wert m Z ^ Restricted Delivery
<br />_ _ ___._ _ _ yr Consuk osvrsster for fee.
<br />- _ ~ -r I~~Lro
<br />' i;C'?16
<br />Registered ^ Insured
<br />Ified ^ COD
<br />xp b9 Mail ^ Return Receipt for
<br />gg _ Merahend!se
<br />~to f behvery '
<br />- - ~ \ ~\'"~ I fi. /id ssee's Address IOnly if requested
<br />11~~! fee i9 pald)
<br />r' ~~,-,'° 3R t 1' i'=:; ' i ~;~-.- „u.s. ovo- roao-~s+.ee+ DOMESTIC RETURN RECEIPT
<br />16-1 F'!_i-t ii r; : 2-t "? 1 15:27 a
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