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tiER: I also wish to receive the <br /> V) late items 1 andlor 2 for additional services. following services (for an extra U <br /> • plete items 3, and 4a&b. <br /> Q <br /> • Print your name and address on the reverse of this form so that we can fee): 7i <br /> 0 return this card to you. <br /> 1. ❑ Addressee's Address W <br /> y • Attach this form to the front of the mailpiece,or on the back if space <br /> does not permit. CL <br /> • Write"Return Receipt Requested"on the mailpiece be law the article number. Z, ] Restricted Delivery 'y <br /> +' •'The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. 0 <br /> delivered. cc <br /> 4a. Article Number L <br /> 3, Article Addressed to: ! 973 'U3 <br /> m <br /> v i!/lCly Q ���n / 4b. Service Type p[ <br /> Cl <br /> E f�r Yr Q Ga s UO L] Registered Ll Insured tM <br /> �J �U �l ( Certified ❑ COD c <br /> oZ� Co ra-tit 1—r Return Receipt for <br /> ❑ a <br /> Express Mail ❑ Merchandise <br /> w <br /> ,✓ / 0 <br /> Q TL{� GcG,I � S —/ 6 7. Date of Deliveryi � <br /> d — 7 <br /> 5. i nature (Addressee 8. Ad essee's Address (Only if requested,c <br /> and fee is paid) s <br /> 6. gnature (Agent) <br /> >- PS Form 3$11, December 1991 au.s,sPo:tss3—asz-71a DOIVIESTIC RETURN RECENT <br />