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m SENDER: <br /> p • Complete items 1 and/or 2 additional services. I also wish-to receive the <br /> m <br /> Q • Complete items 3, and 4a following ser i (for an extra m <br /> ` • Print your name and addressthe reverse of this form so that we can fee): � <br /> m return this card to you. m <br /> o • Attach this form to the front of the mailpiece,or on the back if space i. El Address y <br /> n <br /> does not permit. 2, ❑ Restricted Delivery •y <br /> m • <br /> Write"Return Receipt Requested"on the mailpiece below the article number. V <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. Wm <br /> e delivered. 4a. Article Number E <br /> 3. Article Addressed to: <br /> ------- 4b. Service Type _ <br /> e. .SAC ❑ Registered ❑ Insured a, <br /> ATTN:STEPHENGifl1'ANNt7Nl <br /> Certified ❑ COD <br /> w 1 }2 SANDY LANE ❑ Express Mail ❑ Return Receipt for <br /> w ,AKLEY:C ; q4561— Merchandise <br /> 7. Date o� `17 Delivery,� <br /> O i l iv <br /> O > <br /> Q 9, Addressee's Address 1 ly if requested <br /> Z ignature (Addressee) and fee is paid) L <br /> 6 I- <br /> 7 <br /> r <br /> � 6. lgnature (Agent) <br /> > PS Form 11, December 1991 RUs.GPO:tYB2�234eE DOMESTIC RETURN RECEIP <br /> m <br />