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• Complete items 1 and/or 2 far additional services. I also WISh t0 reCelVe the <br />• Complete items 3, and 4a & b. fOIIOWing Services (for an extra <br />• Print your name and address on the reverse of this form so that we can feel: <br />return this card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space 1. ^ Addressee's Address <br />does not permit. <br />• Write "Return Receipt Requested" on the mailpiece below the article number. 2. ^ RestrlCted Delivery <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: <br />`C.C. Budget Commission <br />`1219 Ontario St., Rm. 121A <br />Cleveland, ~.~H 44113 <br />. _ ';_~.. <br />5. SigyY~ttire ~(lxddressee) <br />6. Signature (Agent) <br />4a. Article Number <br />P 619 718 213 <br />4b. Service Type <br />^ Registered ^ Insured <br />Certified ^ COD <br />^ Express Mail ^ Return Receipt for <br />Merchandise <br />7. Date of Delivery <br />l`C/ ~ ~ ~ <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />,~ <br />PS Form 3817, November 1990 trU.S.GP0:1991-287.086 DOMESTIC RETURN RECEIPT <br />