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RETURN • Moisten gummed ends and attach to back of article. TO SENDER: Be sure to follow I"nslructians on other side PLEASE FURNISH SERVICE(S) INDICATSW BY CHECKED BLOCK(S) (AddidoxW o wgn rpairsd for Owes sowkes) Show to whom date and address Deliver ONLY where dellesQ ❑ to addressee INSURED NO. RECEIPT Aunived do amibe►ed arllclr dascr&W halon En n N =I Ml 2 N s a O v rn v A � M o ..� av m 0. t77 4 'z n 41" . U.S. POSTAL SERVICE OFFICIAL BUSINESS ! PENALTY FOR PRIVAT f USE TO AVO -I0 PAYME OF POSTAGE, $30 3 Postmork of Delivering Office o SENDER INSTRUCTIONS o Print in the space below your name. address, including ZIP Code. RETURN • If special services are desired, check block(s) on other side. 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