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r«� <br /> n r� <br /> SENDER: Complete items 1 and 2 when additional services are desired, and complete items <br /> 3 and 4. ' <br /> Put you rel_in the "RETURN TO" Space on the reverse side. failure to do this will prevent this <br /> card from be h Burned to you.The return receipt fee will rovide ou the nema of the erson delivered <br /> to and the date of delivery,For art one tees the o owing services are Dual a e. onsu t postmaster <br /> or fees ana check ox es for additional service(s) requested. <br /> t 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery <br /> (Extra charge) (Extra charge) <br /> 3. Article Addressed to: 4. AAticleNumber <br /> U0 � <br /> �.Q rferJJ li o <br /> ^ Type of Service: <br /> +(Ir <br /> El Registered ❑ insured <br /> Certified <br /> r ❑ COD <br /> P-V a3 w <br /> Express Mail ❑ Return R I— t <br /> Me <br /> l for rchandise i <br /> / Always obtain signature of addressee <br /> or agent and DATE DELIVERED, <br /> 5. Signature —A dress 8. Addressee's Address (ONLY if <br /> X ?retend fee paid) <br /> 6 Signature —Agent <br /> i <br /> - I <br /> 7. D to f Deliver <br /> PS Fo6n 3811, Mar. 1988 * U.S.G.P.O. 1989-212-865 DOMESTIC RETURN RECEIPT <br /> o P 419 -850 850 946 I <br /> Receipt for ,, <br /> certitiiami1 7.� A - <br /> No Insurance Coverage Provided <br /> UNrTEDSTATE�S',-Do not use for Internation I"Mail <br /> {See Reversel <br /> Sent to - <br /> U00 <br /> Street and No. <br /> i. a I <br /> P.O.,Ste and Zl Code•- ^ �� �� <br /> Postage <br /> Certified Fee <br /> s,ie v <br /> Q <br /> Special Delivery Fee:' - <br /> Restricted Delivery Fee ' <br /> r <br /> Return Receipt Showing r <br /> to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> Q Date,and Addressee's Address _ <br /> 7 <br /> ° TOTAL Postage . <br /> C &Fees 4e - rt <br /> 0 Postmark or Date <br /> 6 d <br /> u- <br /> tJ1 <br /> a <br /> t <br />