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o SENDER' I also wish to receive the <br />$ )or additio <br /> 1 and/ nal services, following ices (for an extra <br /> yl Complete items <br /> • Complete items 3,enc b. fee): <br /> a • Print your name and adoress on the reverse of this form so that we can <br /> m return this card to you. 1. ❑ Addressee's Address W <br /> O • Attach this form to the front of the meilpiece,or on the back if space G <br /> does not permit. 2. ❑ Restricted Delivery 'y <br /> m • Write"Return Receipt Requested-on the meilpiece below the article number. <br />« Consult ostmaster for fee. ¢ <br /> • The Return Receipt will show to whom the article was delivered and the date <br /> Gdelivered. 4a. Article Number E <br /> 3. Article Addressed to: Y �Z ®-;I'L '5ILK :1 <br /> d <br /> 3 4b. Service Type Insured❑ ROgia ered rn <br /> E l i i E .h't �1.._;LA 4 L <br /> [1 COD <br /> ertified om <br /> H O P.O. BOX 814? EJ Express Mail ❑ Return Receipt for <br /> - - Merchandise w <br /> W TOCKiUtd, '`LN 951�bJ <br /> 06 <br /> G 7. Date of Dally y 5d 0 <br /> C <br /> Q 8. Addressee's Address(Only if requested <br /> Va <br /> cc 5. Signature (Addressee and fee is paid) <br /> IP- <br /> cc 6. Signature Agent) <br /> > PS Farm 3811, December 1991 <br /> *U.S.G; <br /> DOMESTIC RETURN RECEIPT <br /> 4 <br />