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<br />~GIVUt1i: <br />Complete items 1 a'~ r 2 for additional services. I also w' ~ to receive the <br />• Complete items 3. a~la & b. following sees (for an extra <br />• Print your name and address on [he reverse of this form so feel: <br />that we can return this card to you. <br />• Attach this form to the front of the mailpiece, or on the ~ ~ ^ Addressee's Address <br />back if Space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ^ Restricted Delivery <br />3. Article Addressed to: <br />:Ttlw.~s b;~.er <br />~~ow~o C.c.r>.l. Co <br />5731 ~fa~ ~-~~~""'7 ~~ <br />~_ ~ ~~ , <br />5. Signature (Addressee) <br />6. Signature IAgentl <br />4a. Article Number <br />n ks~a 733 <br />46. Service Type <br />^ Registered ^ Insured <br />Certified ^ COD <br />^ Express Mail ^ Return Receipt for <br />Merchandise <br />7. Date of De~very <br />6. Addressee's Address (Only if requested <br />and fee is paid) <br />October 2550 eu.s.oro:teeo-sraaet DOMESTIC RETURN RECEIPT <br />