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•SENDER: Complete Items 1 and 2 when additional services are desired, and complete Items 3 <br /> and 4. <br /> Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this <br /> card from being returned to you. The return receipt fee will provide you the name of the person <br /> delivered to and the date of delivery. For additional fees the following services are available. Consult <br /> postmaster for fees end check box(as)for additional service(a) requested. <br /> 1.A Show to whom d.livered, data,and addressee's address. 2. ❑ Restricted Delivery <br /> 1(Extra charge)t f(Extra charge)1 <br /> 3. Article Addressed to: 4. Article Number <br /> P oz5 31a 099 <br /> MICHIGAN NATIONAL BK Type of Service: <br /> — OAKLAND ❑ Registered ❑ Insured <br /> 3000 TOWN CENTER DR Certified ❑ Coo <br /> SOUTHFIELD MI 48075 Express Mail <br /> + Always obtain signature of addressee <br /> or agent and DATE DELItLERED. <br /> 5. Signatur —Addressee 8. Addressee's Address(ONLY if <br /> X requested and fee paid) <br /> 6. ign r Agent ' IW6, --rlr-- <br /> L _ 1 <br /> . Date of Delivery/ � <br /> q ✓ Jm,/r <br /> / � {1 7 <br /> PS Form 381 T, Max. 1987 • U.S.G.P.O.iga7-178-268 DOMESTIC RETURN RECEIPT <br />