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iii iiiiiiiiiiiiiiii <br />999 <br /> <br />v SENDER: , <br />• Complete items 1 end(pr 2 for additional serdioes. <br />~ I a150 Wish l0 reCelve the <br />Complete items 3, end~Aaa~b. <br /> <br />~ <br />following services (for an extra m <br />~ <br />~ Print your name and eddra39 on the reverse oT•tMs4erm so'the t we can feel: •> <br />0 return this card to you. ~ ~ ~.., <br />• Attach this form to the Irons o1 the mailpiece, ar on tho back i <br />f spate <br />t. ^ Addressee's Address <br />y <br />does not permit. <br />m • Write "Return Receipt Requested" on the mailpiece Gelow the article number. <br /> <br />2. ^ Restricted Delivery <br />6 <br />. <br /> <br />• Th¢ Return R¢ce~pt will show to whom Lhe article was deliveretl a <br />nd the date m <br />H <br />c delivered. Consult postmaster for fee. tp <br />a 3. Article Addressed to: 4a. Article Number <br />m <br />~ <br />O~ <br />~ L <br />"~ ' ~-~' ^' <br />~ ~ <br />' 4b <br />i <br />T <br />S m <br />/ <br />t <br />l~ n ~eC~~ ~5 v~~C-~D~ <br />% . <br />erv <br />ype <br />ce <br />^ <br />/Re~tStered ^ Insured ~ <br />y <br />r~ n <br />~ ~ <br />l7 Certified ^ COD E <br />~f' <br />w l, / ~ ~ <br />¢ <br />~ j•~ ~x' /l~ <br />K ~C`~ ^ Express Mail ^ Return Receipt for <br />Merchandise ~ <br />O ~ <br />t U w VlX 7. D e'Q( DEJi w <br /> <br /> 5. Signature (Addressee) R~ dress Ad Cs (Only if requested Y <br />~ a d fee i{/6aid1 t7 ~ <br /> <br />2 ign e ( eAtl n ` ,~~ ~ <br />n PS Flrm 3S7 7, December 1991 au.s.GPO: tvpa-aszat+ <br />