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•SENDE R: Complete items 1 and Z when additional Nrvleet an tlmlred, sad complete items 3 <br />entl 1. <br />Put your address in the "RETURN TO" Space on the reverse side. Fellufe to tlo thlt will prevent this <br />card lrom being re[u rnetl to you. The return recelot Tee will orovlde you the name of the parson <br />delivered to end the date of tlelivarv. For atldltlonal laea the followlnB services ere evalleble. Consult <br />postmaster for feet end check b0 let1 for edtlltionel servlcels) requested. <br />1. ^ Show to whom tlellvared, t~tejand ntldreateeS address. Z. ^ Reatrlcted Oellvery <br />1 (Extra chargej)t t /Extra chargeJt <br />3. Article Addressed to: <br />1 <br />e <br />~ 4. (Article Number ! <br />' ` <br />"w <br />~~m'i~/I Type of Service: <br />~~ ' ~ 5 v ^r,pRegistered ^ Insured <br />s^ Cettified ~ COD <br />..G <br />V~µ +~. ~ I ~~ JCS <br />d' ^ Express Mail <br />0. <br />i.0. I Always obtain aiBnature of addressee <br /> or agent end DATE DELIVERED. <br />5. Siena a -Addressee 8. Addressee's Address (ONLY if <br />X requested and fee paid/ <br />fi. Signature -Agent <br />X <br />7. Date of Delivery <br />~~ <br />PS Form 3577, Mu. ;D67 r u.S.C.P.O. [W7.17e-46e DdMESTIC RETURN RfiCHPT <br /> <br />P ©51 874 716 <br />YT <br />T <br />O <br />LL <br />C <br />fA <br />m <br />a <br />m <br />LL <br />O <br />tai <br />E <br />IL <br />N <br />6 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />r\ r_ ISee Reverse) ~_ ~ <br /> <br />Sent to <br />Ssr et and No. I S <br /> <br />P.O., State and ZIP Cotl .~ c <br /> <br />Postage S <br />r;~ <br />Cenlfied Fea <br /> t ' ri' <br />Special DeRveiy Fee <br /> <br />Restricted Delive7 Fee in 07 <br />J <br />O <br />Return Receipt Showing' _ <br />_ <br />10 whom and Date Delivered ~ - _ <br />Return receipt showing io who <br />Date, arW AdCraas of, <br />TOTAL Postage a ~i <br /> <br />Postmark or Da <br />7 D <br />(' <br />1587 °' <br />GSPO <br />s <br />s <br /> <br />J <br />y. <br /> <br />:l <br />