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<br />". <br />-8 SENDER: <br />'iij 0 Complete items 1 and/or 2 for additional services. <br />III 0 Complete items 3, and 4a & b. <br />l!! . Print your name and address on the reverse of this form so that we can <br />W 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 />.! . Write "Return Receipt Requested" on the mailpiece below the article number. <br />... 0 The Return Receipt will show to whom the article was delivered and the date <br />delivered. '~'\ Consult ostmaster for fee. <br /> <br />3. Article Addressed to: 4a rticle Number <br /> <br />wfmurl: 6mpCJ..I1') <br />. . <br /> <br /> <br />I also wish to receive the <br />following services (for an extra <br />fee): <br /> <br />1. 0 Addressee's Address <br /> <br />III <br />U <br />';;: <br />... <br />CD <br />U) <br /> <br />2. 0 Restricted Delivery <br /> <br />... <br />Q. <br />'Qj <br />U <br />III <br />a:: <br />c: <br />:s <br />... <br />CD <br />a: <br /> <br />Cl <br />c: <br />'iij <br />:l <br /> <br />o t.{ Z. <br /> <br />f 3&0 11'6 <br />4b. Service Type <br />o Registered <br />rn..certified <br />o Express Mail <br /> <br />- <br /> <br />.. <br />o <br />.... <br />::J <br />o <br />> <br />(Only if requested .:1: <br />c: <br />CQ <br />J:: <br />I- <br /> <br />DOMESTIC RETURN RECEIPT <br />