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• Complete items 1 a for additional services. <br />• Complete items 3, a& b. <br />• Print your name and address on the reverse of this form so that we can <br />return this card to you. <br />Attach this form to the front of the mailpiece, or on the back if space <br />done not permit. <br />• Write"Return Receipt Requested" on the mailpiece below the article numb, <br />• The Return Receipt Fee will provide you the signature of the pe.sen deliver. <br />eo and the date of delivery. <br />3. Article Addresaad to <br />PS <br />*U.S. Gpo: 19e1-287-0 <br />I alsl h to receive the <br />folio win rvices (for an extra <br />fee): <br />I. Q�ddressee's Address <br />2. ❑ Restricted Delivery <br />_ wG'S Y `/�o /,0? <br />4b. Service Type <br />❑ Registered ❑ Insured <br />®'Ertified ❑ COD <br />❑ Express Mail ❑ Return Receipt for <br />Merchandise <br />7. Date of Delivery <br />8. Addressee's rdress (Only if requests <br />and fee is 1).l <br />