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Complete items * -. and i. Add your address in the "RETURN TO" space on
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i. The following service is requested (check one). f | Show to whom and date delivered............... 15# | [ 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. ARTICL&AOORCSSED TO:
3. ARTICLE DESCR PTION:
REGISTERED NO.
DIHotT
CERTIFIED NO. | INSURED NO.
(Always obtain signature of sddrasaaa or agont)
I have received the article described above. SIGNATURE Q Addressee Authorized agent
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