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o SENDER: I also wsh to receive the <br />» • Complete items t and/ r additional services. following ices (for an extra u <br /> • Complete items 3,am b. / <br /> • Print your name and ad.. s on the reverse of this form so that we can fee): <br /> O return this card to you. A <br /> O • Attach this form to the front of the mailpiece,or on the back if space <br /> 1. ❑ Addressee's Address y <br /> does not permit. G <br /> r • Write"Return Receipt Requested"on the mailpiece below the article number. Z ❑ Restricted Delivery Z <br /> V <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> cc <br /> C delivered. 1117? <br /> ,� <br /> 4a. Article Num0 ! 17? E <br /> 0 3. Article Addressed to: P r//V! � <br /> o m <br /> lIFC, 1NC. 4b. Service Type cc <br /> ❑ Re 'stared ❑ Insured <br /> E ATTN:TERRY ULLMAN � 5 <br /> u Certified ❑ COD <br /> ly 0 P.O. BOX 8147 Return Receipt for <br /> ❑ Express Mail ❑ <br />'W STOL'k:?ON,L'r1 `dS208- Merchandise w <br /> 7. Date o�DeliverY2 n� <br /> D L� 7 <br /> G 0 <br /> Q > <br /> Z 5. Si n �tura Ad`d�ressee) S. Addressee's Address(Only if requested s <br />¢ and fee is paid) L <br /> 7 F <br /> H <br /> cc 6 Signature (Agent) <br /> 1 <br /> y <br /> IPT <br /> PS Form 3 11, December 1991 *U.S. 3eo2 DOMESTIC RETURN RECE <br />