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III IIIIIIIIIIIIIIII <br />999 <br />• Complete items 1 entllor Z for etltlitionel services. I also wish to receive the <br />• Complete items 3, end 4a 8 b. following SerVICe9 (for 8n eXtrB <br />• Print your name end address ort tho reverse oh this form sp that we caa feel: <br />return this card to you. ~ ' <br />• Anach thu Corm to the Iront of th0~meilpiece, or on the back i1 <br />space <br />1. ^ AddreSSee~s Address <br />does net permit. ' <br />• Write"Return Receipt Reeuasted"on.the meilpiera below the article number. 2. ^ ReatrlCted Delivery <br />• Tha Return Receipt Fee will provitla you the sipneture of the parson delivers <br />to and the date o} delivery. <br />Consult ostmaster for fee. <br />Afticle Addre~ed to: ,e !~~ <br />/On' <br />O_~~y <br />1 a. Art%blu~be' ~.r~~ <br />~O r' <br />~ <br />G <br />~y <br />0 <br />~' Q / rp~~~ ~/ 4b. Service <br />Type <br />^ Registered ^ Insured <br />`O y q '/~~/1 <br />(Y / ''Certified ^ COD <br />i <br />t f <br />R <br />R <br /> p <br />eturn <br />ece <br />or <br />^ Express Mail . <br /> Merchandise <br />9 p~ LfZI~ 7. Date o{ Delivery <br /> <br />8. Addressee's Address (Only if requested <br />end fee is oaidl <br />e U.S. GPo: 1UD1-Ta7-00B <br />Or <br />Ot <br />C <br />O <br />°~i <br />s <br />LL <br />N <br />a <br />P 987 285 653 <br />Receipt`io~ <br />Certified Mail <br />~ No Insurance Coverage Provided <br />~ Do not use for International Meil <br />fSee Reversal <br />s . ~ ,~/ <br />rls"O .z'iUr' <br />51!eer e o <br />0 <br />P.O . St Code. <br />(v ZS <br />Posrape ~ '~ <br />Cendieo Fee - .~.rl <br />CN <br />Special Dalwery Fee <br />Restntled Daiwerv Fae <br />R e pt 0 <br />~'DatC L1~e G <br />/, <br />R rn RT~~-{wrrq~how o~' hom, <br />~ le, ahV11EdRS5eB'S 59 <br />~ TOTAL Pos <br />e Fees <br />~`ostmark or aYe - <br />\~D-~ - <br />