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SENDER: <br /> a <br /> -Complete items 1 andtor 2 for additional services. I also wish to receive the <br /> 0 ■Complete items s,4a,and 4b. following services(for an <br /> 0 ■Print your name and address on the reverse of this form so that we can return this extra fee)' <br /> m card to you. ai <br /> 0 ■Attach this form to the front of the mailpieoe,or on the back if space does not 1. 13Addressee's Address v <br /> permit. <br /> d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> r ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> a-a <br /> 3.Article Addressed to: cc <br /> _ <br /> 0 JENKINS P ULTRY ab.service Type (� V <br /> ❑ Registered -g'Q d <br /> RICHARD ` ❑ Express pN //❑ Insured S <br /> P,O 752 ❑ Return ❑ COD <br /> PON, C 95366 7,Date IDr,. <br /> • o' <br /> Received By:(Print ) 8.Addr e ( requested <br /> ¢ and fe <br /> 3 <br /> Sig nat re: r or Ag nt) <br /> a°. X <br /> a <br /> VA.F3811, December 1994 102595-97-13-0179 Domestic Return Receipt <br />