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<br />. <br /> <br />- <br /> <br />,... <br />-8 SENDER: <br />'ii) . Complete items 1 and/or 2 for additional services. <br />CD . Complete items 3, and 4a & b, <br />I!! . Print your name end eddress on the reverse of this form so that we can <br />CD return this card to you, <br />~ . Attach this form to the front of the mailpiece, or on the back if space <br />does not permit, <br />1! · Write "Return Receipt Requested" on the mailpiece below the article number, <br />... . The Return Receipt will show to whom the article was delivered and the date <br />i delivered, <br />,., 3, Article Addressed to: <br /> <br />t :DOuJ cJ-,eYYlietJ Con,~j <br />5 . f).;(fI1: WU1 eftll 1JJtflt-loJ<.~ <br />~ ~x &part-h7ent- <br />~ 4. P. B. Bt-ti/cDIlj <br />~ Fr~e port} -r;. f') 1f.41 <br />Z . <br />C <br />:) <br />I- <br />w <br />a: <br />.. <br />:! <br />o <br />> PS Form 3 11. December 1991 1rU.s, GPO: 1883-352-714 DOMESTIC RETUR' <br />.!! <br /> <br />I also wish to 'receive the <br />following services (for an extra ri <br />fee): .~ <br />1. 0 Addressee's Address ~ <br /> <br /> <br />a <br />2. 0 Restricted Delivery '; - <br />Consult ostmaster for fee. lil : <br />4a. Article Number a: , <br />p 3 Bo ']/~ 0)'(0 ~ <br />... <br />4b, Service Type CD <br />o Registered 0 Insured " a: <br />~rtified ... Q c;oo ,....../.5' <br />o Express 1\I1f' eJ1Ieturn Receipt for :I <br />Merchandise <br />7. Date of D~~ver <br />SI 0/ S' <br />> <br />8. Addre ee's Address (Only if requested ~ <br />and f is paid) r.: <br /> <br /> <br />.. <br />.2 <br />