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i ~ <br />•SENDE R: Complete items 7 end 2 when edditla net carvlges aro deslret to items 3 <br />pnd 4. <br />Put your atltlress In the "RET V RN 70" Space on the reverse side. Failure t0 tlo this will I Event this <br />cartl from being returned to you. The return receipt tee will orovltle you the name of the person <br />del'verad to antl the date of delivery. For additional tees the tollpwlnp servlcae are evellable. Consult <br />postm ter for fees end check box(es) for etltlltlonel cervlce(cl requested. <br />S <br />hOw to whom dellveratl, date, antl etldreuea'c address. 2. ^ Restricted Delivery <br />1~ <br />1 (EStra charge) t 1(£xva charge/1 <br />3. Article Addressed to: 4. Article Number <br /> <br />` r <br />l Type of Service: <br />. <br />r ~ ~ ^ Registered ^ Insured <br />I - ertified ^ COD <br />' ^ Express Mail <br />~ ` <br />r ~ Always obtain signature of addressee <br />~ <br />~ dr agent end DATE DELIVERED. <br />5. Signature -Addressee 8. Addressee's Address (ONLX~fJ <br /> requested and fec paid) <br />X <br />6. Signa re gent <br />/, <br />~ <br /> <br />... <br />. <br />X <br />/l~lL2 ~ ~~ ~ r <br /> / <br />7, ate of Delivery ~ ~ r <br />PS Form :itll 1. \IaT. 1997 . U.S.G.P.D. 7987-t76-26e DOMESTIC RETURN RECEIPT <br />N <br />q <br />d <br />c <br />O <br />E <br />o` <br />LL <br />f1 /= RTl3 l~7-76-Oa 7 <br />P 765 476 254 <br />RECEIPT FOR CERTIFIED w,AIL <br />HO INSURANCE COYERAGIS RROVI0E0 <br />NOT FOR INTERNATIONe: ;RAIL ~ P°' <br />(See Reverse) <br />Sent 1o~ <br />S et an0 No. ~ <br />P O .Slate antl ZIP Code <br />Postage 5 <br />]_ <br />Cedilie0 Fee <br />Speoal Delivery Fee <br />Restncled Delivery Fee <br />R¢lurn Rece~pl showing <br />to whom antl Dale Delivered <br />j <br />R¢turn Receipt shorn Io whom. <br />Date. antl Address of Debvery ~ <br />TOTAL Postage and Fe¢s 5 <br />POSfmark pr Dale <br /> <br />