Document 2jR6RYJyMLw6Xgj9q6EbnE30p
SSt^UEEPF^^V^otmnj/lAyJlemi 1.2. ami \. <^. Vw. Add^vou/ addiesa in the "RETURN TO" spice on
t -o. ^r 1. TTieTJMiowi^g service is requested (check one).
|~~i Show to whom and date delivered................. 15* | 1 Show to whom, date, & address of delivery.. 35* RESTRICTED DELIVERY.
Show to whom and date delivered................ 65* RESTRICTED DELIVERY.
Show to whom, date, and address of delivery 85*
2. ARTICLE ADDRESSED TO^r
3. ARTICLE DESCRIPTION: REGISTERED NO. 1 CERTIFIED NO.
\ 31 *10 1
INSURED NO.
(Always obtain signature of addresaao or agont)
I have received the article described above.
.SIGNATURE
Addressee
Authorized agent
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