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~_ <br />• SENDER: Complete items 1, 2, 3, anU 4. <br />Add your address in the "RETURN TO" spape <br />on reverse. <br />(CONSULT POSTMASTER FOR FEES) <br />t. The following urvice rs requested (check one). <br />^ Show to whom and date dclivetxd .................... -6 <br />[t'~ Show to whom, date, and address of dclivcry.. -6 <br />x.^ RESTRICCED DELIVERY -6 <br />(The rennere~d de/itery/re it rharded in addition ro <br />rAr return renipr rreJ <br />TOTAL ~ <br />]. ARTICLE RDDIIESSED TP. <br />.T-lyw-~, t~~~ t+,~... rr ,p-r, <br />~? O (LrTfi 2`i `t, . <br /> <br />• TYPE OF SERVICE: ARTICLE NUMBER <br />^ ta[clsTExEO ^ INSURED <br />CEATFIED ^ COD t~ 3° 1 I `~ ` (l ~i Z <br />EIPRESS MAIL <br />(Allrsys obtain signature of addressee or agent) <br />t have received the article described above. <br />SIGNATU ^ Addressee ^ Authorized agent <br />!?~l 1-" <br />S <br />. DATE OF DEUYEIIY POSTYARR <br /> i <br />~ <br />{~ <br />~ <br /> 1 <br />J <br />9. 9 ADdiE55 (Only / De 'j ~ <br /> <br />1. UNABLE TO DELIVER BECAUSE: Tt.'EYPLOTEES <br /> I~nALs <br />o P 397 14~ 692 <br />N <br />~ REC'c4FTi mC:i':.`ER7IF:EII :A:L <br />q~ <br />ry <br />NO INSURANCE COVERAGE PRDVIDED- <br />NOT FOR INTERNATIONAL. MAIL .. <br />~ 3 ~ Z `7 (See Reveme) <br /> Sen <br />t eo <br />r~ p <br />~. V l..`. Nb-T <br />~ St <br />and No. <br /> ~ <br />.. oy. Z "i ~ <br /> P.O., Sute end ZIP Cade <br /> Ck ~o ~ $ \ CC7_(D <br /> Poaupa E <br /> Cartl <br /> Spatial DellverY Fe 2198 <br /> Rortrleted DellverY Fee 1 <br />,~ ) n{`J\C\ <br /> Return ROary~l 1 p~ <br />to r $~ <br />~ <br /> Rat n~gp wing towham, <br />t Dma, and Address of Delivery <br />0 <br /> TOTAL Portapa end Fr S <br /> <br />i <br />PDRmark or Date <br />i <br />0 <br />~ <br /> <br />L+',',Y <br /> _~' ~ ~ <br /> / <br />~ ~ <br />" 1 <br />r <br />e <br />t <br />G <br />r <br />5 <br />