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I also wish to receive the <br /> SENDSar 2 for additional services. �f following services(for an <br /> ■Camplet 116tr16 o'th can return this extra fee): as <br /> 'y a�pmplete items 3,4a,and 4b. e of this f ss m <br /> ,address on the�ave� <br /> �h�iwy���an es not f. o <br /> Bill Delivery <br /> N 2, ❑ Restricted <br /> card to YOU- to the front of th rt number- <br /> o`f ■Attach this form at piece b 10 t d the date Consult Postmaster for fee. <br /> d parm�t• Requested'on t delivered <br /> ` wWnte•Aetum Aeca;pt Req <br /> .The Return Receipt wi11 show to wham the aai a 4a.Article Number •J� /5 G <br /> a 3.Article Addressed to'. _ <br /> 4b.Service Type ?�Certified <br /> "�+ <br /> BRF g> Elf p Registered i] insured <br /> Me n <br /> O� CHEVR ON USA p Express Mail 0 COD n <br /> i t r <br /> C1�N0 gp,Mf3N ❑ Return Rete P � <br /> rn 741Q 94593_0804 7.Date of D e 0 <br /> SAN gQ,MO'3 CA <br /> dress <br /> if requested <br /> S.Address e's <br /> � and fee is poi <br /> ry <br /> g.Received By: (Print Name) \\V ] <br /> ' <br /> gent) <br /> Dm stic Return Rec <br /> Addressee o o6. ignature <br /> 3Seip k <br /> J y X <br /> ber 1994 <br /> PS Form , Dec <br />