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.Complete items 1 and/or 2 for additional services. <br />I also WISh to receive the <br />■Complete items 3, 4a, and 4b. <br />following services for an <br />■ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />1. ❑ Addressee's Address <br />permit. <br />■Write'Return Receipt Requested' on the mailpiece below the article number. <br />2. ❑ Restricted Delivery <br />■The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />Consult postmaster for fee. <br />3. Article Addressed to: <br />T)Cso1ej <br />5. Received By: <br />I <br />4a. Article Number <br />41b. Service Type <br />❑ Registeredfled <br />El Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requ&sted <br />and fee is paid) <br />Po/ <br />c9 8/3 T5 <br />