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v SENDER: <br /> ------ <br /> t - Complete,items 1 or 2 for additional si <br /> M <br /> Complete items 3Mga&b. ��_ • we <br /> rn • print your name a dress on the reverse of this form s�u,m wa car, 'ollO��ervices (for an extra d <br /> return this card to you. fee): <br /> m • Attach this form to the front of the Tailpiece,or on the back if ace <br /> Les not permit, p 1. ❑ Addressee's Address 0 <br /> m • <br /> Write"Return ReceiptRequested"onthe mailpiece below the article number. N <br /> • The Return Receipt will snow[o whom the article was delivered and the date Z' ❑ Restricted Delivery G <br /> o tlelivered. •d <br /> m 3. Article Addressed to: Consult postmaster for fee. 0 <br /> 4a. Article Number t0 <br /> m E <br /> 'jny c� addo�, A _ C) . � <br /> 0 4b. Service Type y <br /> �a.0 (,(/, y d$ Q y4)I �2 (/,'v'�. ❑ Registered ❑ Insured <br /> to <br /> w ,(^ L / ,l / Certified ❑ COD <br /> pp 13 /� Ll vLte C0. Ci Illl, �'3 jb ❑ Express Mail ❑ Return for <br /> for = <br /> Merchandise <br /> Q <br /> 7. Date of Deliver e2 o` <br /> `S� <br /> 5. Signature (Ad s u. Addressee's Address (Only if reques d Y <br /> I— and fee is paid) <br /> cc 6. Signature (Agent) W <br /> FL- <br /> 0 <br /> w' FS Form 381 I# December 1991 *U.S.Gpo:I993 M"' DOMESTIC RETURN RECEIPT <br />