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• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, and 4a d b. <br />• Print your name and address on the reverse of this form sn <br />that we can return this card to you. <br />• Attach this form to the front of the mailpiece, or on the <br />back if space dose not permit. <br />• Wrlte "Return Receipt Requested" on the mailpiece next to <br />the article number. <br />3. Article Addressed to: 4a. An <br />I also wish to receive the <br />following services (for an ,xtra <br />fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />0 S'%/ aacg <br />4b. Service Type <br />t� ❑ Registered ❑ Insured <br />/° 3° 7 k:, r 1I Certified C COD <br />— WA- q&p y/ ❑ Express Mail ❑ Return Receipt for <br />Morehandia. <br />*US OPO: 1910—Y73a,11r <br />J <br />J <br />O <br />m <br />it, 0 <br />b 7 <br />-9 2_ <br />and fee is <br />P 868 5111 380 <br />Certified Mail Receipt <br />No Insurance Coverage Provided <br />Do nut use for International Mail <br />(Sec Reverse( <br />Sent to <br />creel a uo <br />PO, Slate It ZIP Code <br />Mslaga <br />cradled Fee <br />slen,al P97", Fee <br />Resterled Delivery Fee <br />Return PMe,Pl Snowing <br />to Whom a Dale Debwand <br />Return Receipt Spewing to lVr, <br />Dale. & Mateo, of Comer, <br />TOTAL Postage <br />It Fore <br />Rnlaneirk of Do,, <br />