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_ ,:._ <br />t ~ - -. __ _ _.. _ <br />- - -- <br />U~ITEDSTATES POSTAL SERVICE ~~\~ Q?6'., <br />.. ( _ ,~J <br />• Rrint your nam~ddre ,and ZIP Cod'~'~ ~ ~..~„~. <br />W m . 3. l~a~. UaQ.~e.~-.{~u,~~ , <br />1a3r3 ~~ ly <br />~E9:..~..._ G d~(d~ <br />~ ~~ ~il~~lr9 ~t.t,l•~d~d ~i~~~t; <br />m SENDER: <br />'o .Complete items tand/or 2 }or addifbnal services. I also wish to receive the <br />w .complete items 3, aa, and ab. following services (for an <br />m <br />~ ^ Print your name and address on the reviree*of this torn so that we can return this <br />card to <br />ou extr8 fee): <br />8 <br />d . <br />y <br />.Attach this form to the front of the malipiece, or on the bads if space does not ~ . ^ Addressee's Address ~ <br />m ^ Write tRetum Receipt Requested' on the mailpiece below the aRide number. 2. ^ Restricted Detlvery r%1 <br />~ .The Return Receipt will show to whom the artlde was delivered and the date <br />delivered. <br />Consult postmaster for fee. ~ <br />~ 3. Artlcle Addressed to: ~ ~ O 3 2 2 6 ac <br />~ \ " - ~ ~ 4b. Service Type <br />~ _ <br />' j 0 S~. ~ I <br />~ (~' . ~ " ~" <br />lQ ^ Registered ~ Certified ~ <br /> 1 <br />~.~-(~ ~`/~ ,,~ ~ ~ <br />~ <br />~' <br />' <br />~ <br />' "' ^ Express Mail Insured <br /> <br />^ Return Receipt for Merdiandise ^ COD 5 <br />q <br /> v <br />' <br />" <br />, <br />~ <br />l_W <br />ld~~ <br />~5 ~,~ 7. Date of Deliv <br />~ F <br /> ~. <br /> 5. Received By: (Print Name) 8. Addressee' Address (Only if requested ~ <br /> r° ~• ~ ~ ~- ~ ~ end fee is paid) <br />g Addr eeorAgent) <br />6. Sign <br />~ ~ <br />X , <br />`•~ ' ~ (~ ~ 4 ~ ~ ( 14~ <br />PS Form 381 r ~ b 1 rr r r rr rn r r ~ss~-t-o»~ ~ I go~nestic Return Receipt <br />rrr i r~ri r u <br />