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/r/- / 99~ ~ of ~ <br />~U ~o~s-G~ 3/ <br />~12>~r.~,~e~e <br />ti <br />r, ~,~ <br />~' ~• <br />~~ ~~~ <br />~~ Complete items'], 2, and 3. Also complete <br />$em~A if Rest¢cted Delivery is desired. <br />fIB !Pr~Flt your name and address on the reverse <br />so t we can return the card to you., <br />~tii A~ this card to~the back of the mailpiece, <br />do the front if space permits. <br />1 idle dressed to: - <br />/~~ O, ~/ ~' /nd <br />A.- Signature <br />n ^ Agent <br />x d ae . <br />d by (Printed Name) <br />v <br />e <br />e`i <br />R~ C. Date of Delivery <br />y <br />.~- <br />~' <br />'~ <br />` <br />D. Is tlelivery add di nt troni ttem 1? ^ Yas <br />If YES, enter tlelivel~y'~3dres~ below: <br />~~' <br />' ^ No <br />. <br />, \ <br />S <br />~n <br />f ~~ 1i <br />1 ~~_ ~. '~ ti~ rn ! <br />~~ ~ ~ ~ 3. Service Ty'e,,. _ 1 <br />^ Certlfie~N),ail, ~b:Express Mail <br />,s ~ ^ Registered ~~I~•Re?um Receipt for Merchandise <br />^ Insured MaiY ^ C.O.D. <br />b''(7Jp 4. Restricted D=livery? (Extra Fea) ^ Yes <br />2. ArdidleNumber 7004 135 0001 1636 7442 <br /> <br /> .~ _ <br />"' fi <br />s '• .. <br />Iti <br />I <br />• <br /> DM t~a~,, ~. ~8r, cc <br /> <br />'a _~ wa s <br />~ <br />0 Gemmed tree <br />"3 -- <br />2 ---~ <br />_ ~~ <br /> . . <br />~ Relum Retlept Fae <br />(Fltlorsement Regalred) <br />~ n~'RQsanark <br />L'Lliara <br />1J7 R(E~ ~~r Raju7~1 /~ <br />f Qft•~ i . <br />U <br />m <br />a <br /> <br />Total Pos[gge 8 Feee <br />$ <br />~ ~ <br /> <br />_ _^~ <br />~ <br />, <br />N <br />S <br />o <br />o <br />ra <br />,L, `f <br />9 <br />; <br />{%v <br />~q~~ <br />No. /v/ 7~ _ /JiT/ ~~ .. <br />