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• SENDER: Complete Items i and 2 when additional serv{rgs en deslrsxl, end complete items 3 end 4.I <br />Put your eddrott igqtfro "RETURN TO" space on the ravens aide, Failure to do this will prsront this <br />card from Fxing refumed to you. The return receipt fse will idsyou the nTme of thT~e_Tn <br />deliverW t nd M of INe--. ror t orra~M aervrcea aro evenaou. wnaule <br />postmaster or ass e c ec x eaV for eddltlonsl nrvlu(sl requested. <br />1. how to whom dsliwrad, date, end addreases's eddrw. 2. ^ Restrcted DNlvery. <br />3. Article Addressed to: 4. Article Numher , <br />3~- a~ ~~ i~cotit.~~ <br />- ~~ ~ <br />~-~ . ~~ cx: ~ ~,saa <br />X ` <br />0. Signaturo -Agent <br />x ' <br />'~`f + <br />DOMIECTIC gETURN <br />,rt--~s - a s~ <br />m - ~r _ la I <br />P WSJ, 874 679 <br />N <br />C] <br />L <br />Y <br />=C~iPi ;=0i1 C3l;TI?iFO i.Y41t_ <br />~:0 rtSURA.'(CE COVERAGE PROVICED <br />fv0i FOR iN ~ERh1ATi0NAL 61A4 <br />m ^Z~-~~~ <br />~~ (See AevgFSe) ~,~ _ <br />i <br />` '~cB~r!to <br />m IrJ~P.,~ { t{ t hC ll-F ~~~---C--t© <br />~ IStreel and ko.' , <br />m ~~.. Stale artl ZIP Cotle ~ <br />t},, l •k~.... /1 lam) rl (i~.77 I <br />ti Y- <br />r, <br />~ i <br />a i <br />'ostage g <br />Certihad Fee <br />._~_ <br />~ <br />SPOCIa~ Da~~~P.y pge ~_ <br />Restricted Deti~MrF e <br />: <br />Pti8 iS <br />"r <br />,, <br />. <br />~"lelurn Receipt Showing <br />'o whom and Ds'a']aq.•srrd <br />RelUrn foc3lp` S`iCRrr--rv~~ YF•i~, <br />] <br />l <br />' <br />'f" <br />' <br />~ - <br />~' <br />a <br />e, flnd <br />AOdresS o <br />0 <br />aiwan~ <br />TOTAL Postage artl Fees <br />~ <br /> = ~ <br />r <br />cl <br />p \ .. i . <br />V. ~ <br />rq <br />+, r <br />Rsglttarod Intursd <br />~c.ttlflad - 8 coo <br />Express Mail <br />Always obtain signature of addressee or <br />agent and DATE DELIVERPD. <br />