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111 !I1l111111111111 <br />StNU6R:' <br />Compute items 1 and/or 2 for additional services. <br />I also wish to receive the <br />• Complete items 3, and 4a & b. fallowing services Ifor an extra <br />• Print your name and address on the reverse of this form so feel: <br />that we can return this card to you. 7, ^ gddressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back if space does not permit. <br />" <br />" <br />^ Restricted Delivery <br />2 <br />Return Receipt Requested <br />on the mailpiece next to <br />• Write . <br />the article number. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br /> /~ G <br />n -` <br />1,Gy~ ~-4A3 ~j'~,~.P~ <br />P;Lp,C~-Q 4b. Serve TYDe <br />. <br />4s5 ~ { ^ ~~ <br />„~O~'MX ^ Registered ^ Insured <br /> 'Certified ^ COD <br />`~l ~~ ('~ ~Q ~~ ,. ^ Express Mail ^ Return Receipt for <br />GG Merchandise <br />c~ ~._ _,U~ ~ and fn; ~is paid/ <br />October 7990 eu.s. oao: teen-z]aaet DOMESTIC RETURN RECEIPT <br />- __ -~ <br />P c`S60 170 469 <br />h CeRified Mail Receip <br />~ No Insurance Coverage Provide <br />f Do not use for International Mail ('~ <br />U ~_~ (See Reverse) <br />N Sam to ~` <br />P ~ - <br />Stmet 8 No. _ , l1 <br />Code <br />PoSm1ie t <br />Cenilietl Fea <br />~ i to Whom 8 Data Deli <br />T <br />T <br />Return Receipt 5 in <br />m Dete. B Add dt:D <br />c <br />~ TOrAL Posuea , <br />C 8 Fees <br />~ Postmark w De <br />m <br />~ r <br />E " <br />0 <br />LL <br />N <br />a <br />