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0 SENDER: Complete items * and >.
Add your address in the "RJETLT reverse.
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1. TKe following service is requested (check one).
| | Show to whom and date delivered................ . 15/
n 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 AODRESSED TO:
3. ARTICLE DESCRIPTION: REGISTERED NO. 1 CERTIFIED NO. \3<7*16 kb \
INSURED NO.
(Always obtain signature of eddreeaae or agent) I have received the article described above. SIGNATURE Addressee / Au;
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S. ADDRESS (Complete only if reqoi
6. UNABLE TO DELIVER BECAUSE:
DSW 283122
1975--0-568-047
STLCOPCB4064451
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