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r <br />, <br />¦ Compi s 1, 26e and 3. Also complete <br />Rem 4 if Restricted ivery is desired. <br />¦ Print your name and address on the reverse <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />a <br />-til ?? N1 <br />by (Printed Name) C. Date of Delivery <br />a <br />XB-lved IJ <br />D. Is delivery address different from item 1.? 0 Yes <br />if YES, enter delivery address below No <br />7 a /? JT 1 3. Service TYPO <br />L 3,6e-rtMed Mall ? Express Mall <br />2 G? Return Receipt for Merchandise . <br />a q)3 3 J [3 n sui red ? Mail ? C.O.D. <br />DelNery'1 extra Fee) 13 Yes <br />2. Article Number <br />(rmnsfer Irom senrfce labs!) <br />4. Restricted <br />7005 3110 0000 2197 9843 <br />.Domestic Return Receipt <br />102595-02-M-1540 <br />PS Form U61 I, MR U-21 r