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i ~ <br />m SENDER: I also wish to receive the <br /> • Complete items 1 and/or 2 for e0tll0onel sarvkes. IoIIOWin services for an <br />g ( <br />' <br />m <br />m • Complere ilemg 3.4a, and ab. <br />• print your name entl atldrass on ma reverse or dds fens sb Net we can velum rhie extra lee): <br />@ <br />m urd to ou. <br />• Attach Ibis loan to Ne Iront of the mallplece, or on the beck d sDece tloes not <br />1. ^ AddresseB~B Addfess ~ <br /> <br />t <br />~ ppee <br />• Wn et'ReNm Receipt Requesletl'on Iha meilpieu below the ar4tle number. 2. ^ RestrlClBd DBllvery ~ ' <br />y • Tha Pelum Receipt will show to whom Ne article was tlelivered end Me dale <br />Consult postmaster for lee. <br />a. <br /> delivered. <br />`0 3. Article Addressed to: 4a. Aricle N umber u <br />d <br />d ~Hltpl7o KG1 <br />a I" to R17~AQ~ MNNfA 4b. Service Type <br />${Q(o {'~'OhL+~ /~. ^ Registered <br />(~` EST ~iUEe 1''!~ ZOZ74f ^ Express Mail <br />^ Retum Receipt for Merchandise <br />7. Date ol~livery~ ^ ~ <br />5. Received ey: ( Name) 8. Addressee's A11ddressN1(Only <br />r rnV (1 ("' ~ and lee is paid) <br />6. Sirnature:. Mddressea,ecAaeritl•tx z,ner:-..._... _ <br />'-" P~-`onn $8~! December <br />1025959&8-0229 <br />t$(Cedified <br />^ Insured <br />^ COD <br />c <br />5 <br />Y <br />¢' <br />m <br />0 <br />~. <br />T <br />Y <br />m <br />r <br />t- <br />l5 <br />