Document g2pnJVMkowDR41yKNo2Jaw72J
U C C 080977
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SENDER:
* Complete items 1 and/or 2 for additional services.
* Complete items 3, and 4a & b.
* Print your name and address on the reverse of this form so
that we can return this card to you.
* Attach this form to the front of the maitpiece, or on the
1 also wish to receive the following services (for an extra fee):
1. G Addressee's Address
back it space does not permit.
* Write "Return Receipt Requested" on the mailpiece next to
2. G Restricted Delivery
the article number.
Consult postmaster for fee.
3. Article Addressed to:
4a. Article Number
c/c
/ i
4b. Service Type
Registered
Insured
"Certified
O COO.
Express Mail Return Receipt tor
Merchandise
7. D^of Delivery
B. Addressee's Address (Only if requested and fee is paid)
6. Signature lAgenti
/., /
______ //y
PS Form 361.1, October 1990 7 *u8. ^ 1W0-27Mi
DOMESTIC RETURN RECEIPT
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