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5y5 n H <br />D]�� <br />9H <br />JC) Z <br />�xyH cn <br />tHYI�-I <br />oxo <br />� y H <br />yz <br />mod <br />vim❑gg <br />> H z <br />r H y <br />y <br />Cd t� fn <br />Pt-1 <br />g014 <br />ca <br />Alli <br />P 868 541 372 <br />1 Certified Mail Receipt <br />No Insurance Coverago Provided <br />= Do not use for International Mail <br />n <br />sue <br />a <br />SENDER: <br />I also wish to receive the <br />Po • Complete items 1 end/or 2 for additional services. <br />following services (for an extra <br />• Complete items 3, and 4a & b. <br />• Print your name and address on the reverse of this form so <br />feel: <br />ro- that we can return this card to you. <br />1. 0 Addressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />c, back it " door not permit. <br />• Write Flat Receipt Requested" on the mailpieco next to <br />2, Restricted Delivery <br />eReturn <br />the article number. <br />Consult postmaster for fee. <br />3. Article <br />�- <br />4a, Article Number <br />(a8- Sy/ 3%2- <br />4b. Service Type <br />❑ Registered ❑ Insured <br />d'q / 70 7 <br />Certified❑ COD <br />a <br />Express MaV ❑Return Receipt for <br />TOTA Q �/' / <br />Merchandise <br />7. Date of ivory <br />p <br />n is <br />toF <br />do 5. Signature (Addressee) <br />8. Addressee's Address (Only If requesb <br />and fee is paid) <br />i' 6. Siurjat07j"em) A� <br />CY <br />Q <br />M <br />PS Form S911, October 1990 ou.s. om. rasa-rrpaei DOMESTIC RETURN RECEIF <br />P 868 541 371 <br />Certified Mao Receipt <br />No Insurance Coverage Provided <br />Do not use for International Mail <br />S• (Sao Reverse <br />soma <br />svem a uo <br />• Complete uums -- <br />• Complete items 3, and 4e & b. <br />• Print your name and address on the reverse of this form <br />that we can return this card to you. <br />• Attach tnis form to the front of the mailpieco, or on the <br />back if space does not permit. <br />• Write "Return Receipt Requested" on the mailpieco next <br />I also wish to receive me <br />following services flat an extra <br />feel: <br />I. L1 Addressee's Address <br />2. ❑ Restricted Delivery <br />