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<br />It <br /> <br />. <br /> <br />;/ <br /> <br /><t~ /3-11 <br /> <br />tv, SSQYl d?~m I't-al <br />~5,~ Urrp <br /> <br />p(AA~ <br /> <br />f!l1 us e/ <br /> <br />RLj <br /> <br />,... <br />.fJ $fE;UQl:l:fRl: <br />.iIl 0 Complete items 1 and/or 2 for additional services. <br />o 0 Complete items 3. and 4a 8. b. <br />!2 0 Print your name and address on the reverse of this form so that we can <br />iii return this card to you. <br />ij 0 Attach this form to the front of the mailpiece. or on the back if space <br />.. does not permit. <br />1! 0 Write "Return Receipt Requested" on the mailpiece below the article number, <br />... 0 The Return ~eceipt will show to whom the article was delivered and the date <br />Ii delivered. <br /> <br />'tS <br />e <br />.... <br />e <br />a. <br />E <br />8 <br />U) <br />en <br />LY <br />a: <br />Q <br />Q <br />r:l <br /> <br /> <br />3. Article Addressed to: ) ~ <br />C I-IUSez:: L US /1 .J-nC. <br />1J11n: ~1 r. DunCal) Has-e-i I <br />/rl. S-OD ~areA 8awelJQ%d <br />PasrulenC<.J~' l?'lf"IJ'7 <br /> <br />2. 0 Restricted Delivery <br />Consult ostmaster for fee. <br />4a. Article Number <br />f 3 eo 11 <br />4b. Service Type <br />o Registered <br />~rtified <br />o Express Mail <br /> <br />I also wish to receive the <br />following services (for an extra 3 <br />fee): 'S; <br />.. <br />1, 0 Addressee's Address ~ <br /> <br />1i <br />'; <br />u <br />cg <br />a: <br />c <br />.. <br />::i <br />+4 <br />CD <br />cg <br />m <br />t: <br />'w <br />~ <br /> <br />() S-1 <br /> <br />',-", <br /> <br />7. <br /> <br />.. <br />.e <br />~ <br /> <br />fi <br />() ~-~~-~"--.. - , , <br />::- PS Form 3lf8l'i: '/. December 1991 <br />3 <br /> <br />""U.S, GPO: lBll3-3S2.714 [)OMESTIC REH ;R1~ tiEG:tiiP"J" <br /> <br />,..> <br />