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- --.~ <br />Flrst-Class Mail <br />UNITED STATE~^ POSTAL SERVICE Postage d~ Fees Paid <br />• LISPS , <br />Pemtitt No. C3-10 <br />~ Print your name address, and ZIP Code in this box +~ <br /> <br />~ J ~ ~~7V, tUA- ~~~ ,. <br />Gt, ~~{ <br />}~,t~,a~ t,t~-~Irrlltu,-t,it-tl , <br />o SENDER:- <br />~ ^Complete Rams "I'andlor 2 for additional services. <br />d ab <br />4 <br />a I also wish to receive the <br /> <br />following services (fob an <br />s <br />o a, an <br />. <br />^Complete items 3, <br />^ Print your name and address on the reverse of this torn so that we can return this extra fee)' <br />~ <br />d card to you. ~= <br />^Attach this form to the front of the mailpiece, or on t11e bads if apace dose not <br />1. ^ Addressee's Address ~ ' <br />Z , <br />m ^ Wn e~tRetum Receipt Requested' on the mailpiece below the artide number. 2. ^ Restricted Delivery <br />~ ^The Return Receipt will show to whom the artide was delivered and the date <br />Consult postmaster for fee. ~ <br />~ delivered. <br /> 3. Article Addressed to: 7~~3 2260 17002 2220 1960 <br /> <br />a i'~ii° ~ ~ ~ , ~~ ~~-p 4b. Service Type ~ <br /> ~S~ ~ . ^ Registered ~ Certified ~ <br /> <br /> <br />W <br />)~ ,~. <br />~ <br />l <br />~ <br />' ' <br />' ^ Express Mail ^ Insured <br /> <br />t for Merchandise ^ COD <br />^ Return Recei 5 <br />~ <br /> j , ~Z)S <br />d~L,~ <br />O <br />. <br />~ p <br />p 7. Date of Delivery <br />a <br />o• <br /> 5. R ceived By: (P-int Name) S. Addressee's Address (Only if requested w <br /> ~--- ~-. and fee is pald) ~ <br />~ <br />~ 6. Si : (Addressee orA nt) <br /> X <br />~ PS Form 1, December 1994 102595-97-B-0179 Domestic Return Receipt <br />