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r <br /> SENDER: <br /> ;C Complete items 1 and/or 2 for additional services. I also wish t0 receive the <br /> N • Complete items3,and 4a&b. following services (for an extra <br /> H • Print your name and address on the reverse of this form so that we can fee): <br /> return this card to you. <br /> m • Attach this form to the front of the Tailpiece,or on the back if space 1. ❑ Addressee's AddreSS <br /> 9D does not permit. •' <br /> _ • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ElRestricted Delivery 2. <br /> w • The Return Receipt will show to whom the article was delivered and the date •0 <br /> c delivered. Consult postmaster for fee. 0 <br /> 0 3. Article Addressed to: 4a. Article Number <br /> � L <br /> o. DIRT N IRON 4b. Service Type cc <br /> m <br /> E 1417 326 RD ❑ Re stered El insured <br /> cm <br /> (1) SILT CO 81652 Certified ❑ COD E <br /> W ElExpress Mail ❑ Return Receipt for 5 <br /> Cr Merchandise c <br /> C 7. Date f Delivery %. <br /> c q �3 a <br /> M t5. Signature 8. Addressee's Address(Only if requested c <br /> and fee is paid) o <br /> UjL <br /> W H <br /> 0s• Signature (Agent) <br /> 3 <br /> 0 <br /> H PS Form 3 17, Qecember 1991 u.$.G.P.o.:1992-3o7-s3o DOMESTIC RETURN RECEIPT <br />