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<br />,t1VUtli: <br />• Complete items 1 and/or 2 for additional services. <br />I also wish t0 receive the <br />• Complete items 3, and 4a & b. following Services (for an extra <br />• Print your name and address on the reverse of this form so that we can fee): <br />return this card to you. <br />• Attach this form to the front of the mailpiece, or on the back i <br />f space <br />1. ^ Addressee's Address <br />does not permit. <br />• Write "Return Receipt Requested" on the mailpiece below the article number. 2. ^ RestrlCted D811Very <br />• The Return Receipt Fee will provide you the signature of the person delivered <br />to and the date of delivery. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number ~~ <br />ODOT P 619 71F 212 <br />District 12 . „ 4b. Service Type <br />5500 Transportation Blvd~~. ^ Registered _ ^ Insured <br />Garfield Hts. OH 44125- <br />~ certified ~^ coo <br /> ^ Express Mail'n;~'^ Return Receipt for <br />5396 Merchandise " <br />Attn • Bryan Groden/ 7. Date~of~Del~iv9er~ <br />5. Signature (Addressee) <br />6. <br />\orm 381 T, November-1990 * u`s. <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />DOMESTIC RETURN RECEIPT <br />