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j1C <br />IN0N ?-6-'F IN*-IDE N r AK' <br />•P- ?? ?l-o I3 <br />M-S <br /> <br />?• :' 1 also wash to reeetve the <br />I also <br />to <br />ce <br /> y? S <br />je <br />(for an <br />•y?mptate items"T and/or 2 for aAddweal se?eo. <br />0 <br />m •pemptet items 3, 4a, and 4b. fee): <br />our name and address on the reverse of this form so that we can return this extra <br />int <br />.P <br /> y <br />r <br />Card to you. <br />.Attach this form to the front of the mailpiece, or on the back if space does not 1. ? Addressee's Address <br /> <br /> <br />r permit. <br />eWnte'Retum Receipt Requested- on the mailpiece below the article number. 13 Restricted Delivery <br /> <br />Return Receipt will show to whom the snide was delivered and the d <br />yQpt COQ ostmaster for fee. <br />* <br /> <br />r <br />C O <br />delivered. -- <br />delivered <br />s <br />G <br />ed <br />3. Article Address <br />too 70 8 4 ;WP 3 4-1471 5661 <br />a <br /> <br />0 l <br />c? <br />?e C ?? W ?? Ei f'S b. Service ype <br />fied <br />certi <br />?: <br />" " <br />Jt' C0 <br />d <br />- <br /> <br /> <br /> <br />. <br />o <br />° . <br />_ <br />? <br />. a , <br />?1 C Registere <br />: <br />? ress Mail ? Insured <br />S <br />z <br /> <br />USP. <br />8C1? ? Return or Merchandise ? GOD <br />155 B <br /> nn <br />7. Date of Delivery <br />60 <br />.? . Vb OX <br />m <br /> G? <br />??o <br /> <br />Z <br />dressee's Address (Only if requested <br />8Ad <br /> 5. Received By: (Print Name d fee is paid) h <br />F t <br /> 6. Signature: (Addressee or Agent) <br />i <br />X X <br />offi c <br /> ef6er 1994 <br /> <br />" 11 a <br />PS Form <br />