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SENDER: <br /> v ■Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> w ■Complete items 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on the reverse of this form so that we can return this <br /> extra fee): <br /> card to you. 6 <br /> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> d permit. <br /> ■Write'Return Receipt Re uested'on the mail piece below the article number. n <br /> d P q p 2. El Delivery <br /> L ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> 3.Article Addressed to: 4a.Article NumberIM <br /> m <br /> E Sect ��. a I sa v ,ci <br /> _ _ 4b.Service Type <br /> / � J� �`"IVY \/ <br /> N G c�`��Q Irt 1 ❑ Registered Certified cc <br /> W %�� Ial'r�7 L � �/�� ❑ Express Mail ���❑ Insured <br /> o L ❑ Return Receipt for Merchandise ❑ COD ` <br /> a <br /> 7. Date of Delive 0 <br /> p 5. Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> w and fee is paid) <br /> ¢ t <br /> 6.Signatu (Ad a Agent) <br /> o X <br /> N <br /> PS Form 381 , December 1994 Domestic Return Receipt <br />