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<br />e <br /> <br />e <br /> <br />+ <br /> <br />.... <br />Gl SENDER:~.~ <br />~ . Complete items 1 andlor 2 for additio";al.~e~vi~es, '\ <br />Gl . Complete items 3. and 4a & b, ~'~. :-, . '! <br />l!! . Print your name and address on th~ reverse of this f6j'7 so that we can <br />Gl return this card to you, ~ 1.,~ <br />i; . Attach this form to the front of the mailpiece. oi'on'the back if space <br />.. does not permit, , <br />.! . 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 />delivered, . <br /> <br />I also wish to receive the <br />following services (for an extra <br />fee): <br /> <br />" 0 Addressee's Address <br /> <br />ci <br />y <br />':=; <br />b <br />I!) <br />(i) <br />a <br />.~ <br />(J <br />lD <br />a: <br />c <br />... <br />::l <br />-"" <br />CD <br />Ill: <br /> <br />7'75'7~ - <br />/374 <br /> <br /> <br />2. 0 Restricted Delivery <br /> <br />Consult postmaster for fee, <br />4a, Article Number <br />? 3~D <br /> <br /> <br />3. Article Addressed to: \'\ <br />M \>'. EJ t.i> a.-v~ J: ttv ~ {t-e. ~ ' <br />T~tLS E\u-h-~ c.. ~\.I'~.)l\1e'l..tCo. <br />)J 0 6 ~ /371- <br />LLPey.fL IX <br /> <br />o <br /> <br />l:i) <br />!:: <br />'iI) <br />:l <br /> <br />5, Signature (Addressee) <br /> <br />8, <br /> <br />to. <br />o <br />.... <br />::i <br />o <br />> <br />Only if requested ~ <br />r:: <br />lQ <br />J: <br />1= <br /> <br />DOMESTIC RETURN RECEIPT <br />