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~.omplBle items 1 anNgi 2 for edtlitional services. I aISO WISh IO rBCBIVB thB <br /> ~•Complete items 3, 4a, and bb. follOWfng ~SBfVICBS (fOr an <br />~ •Pdnl your name and address on the reverse of this brtn wlhat we tan return iMa <br />Wrd to you. '~ BXtfa fBe): <br />bi <br />~ <br />~ •Aaach this form to the horn of the mEilpiecB, or on the back if space does rwt <br />emet t , ^ AddfeSSBB'S AddrBS4 ~ <br /> <br />p p <br />. <br />•Wdre'Refum Receipt Requested'on the mailpiece below the aniUe nurMer. <br />p,^Restricted DBliVBry n <br />y <br /> •The Relum Receipt will show to whom the erlide was tleliveretl ntl the date <br />~ eeliverae. Consult postrnaster for fee. <br />a <br />a 3. Article Addressed to: <br />SQ i it NQ I/.f 5 ~~ SQ~ <br />~~DUI ~~ <br />1nC <br />~ <br />Q 4a. Ardcle Num/b~er p <br />z ~/~o %'i/o~ ~~O _ e <br />C <br />E i <br />~n Kt <br />~ <br />fa,- ~e ~10~n 4b Service Type ~ <br />o <br />u n <br />r 0 8d ~ 3/L ^ Registered Cerdited <br /> <br />c,, ,~ ~5 Cd ~//~~ <br />` ~ <br />p F~Press.Mail ^ Insured m <br />5 <br /> JW ^ Return Receipt for Merchandise ^ COD ~ <br /> 7. Date of D ive <br />/J <br />~ <br /> Z i. <br /> <br />~ 5. eceive 'n Name) 6. Addressee' Address (Only i/requested ~ <br /> ~~ <br />G~ and !ee is paid) t <br />r <br /> 6. Signature: (Addressee or Agent) <br />r <br />e X <br /> PS Form 3811, December tssa Domestic Return Receipt <br />r <br />a <br />Q <br />O <br />m <br />M <br />O <br />LL <br />m <br />a <br />Z 416 942 918 ' <br />Receipt ,~~~ <br />Certified ~~' g8 ~ ~°, <br />No Insurance ~p~yr~e~ <br />Do not use to l ernational Mail <br />ee verse) ~ ~ <br />Se io <br />.S <br />SVpe~an a 3/0 <br />~/U <br />P <br />9ale a p ZIP ~Oee ^, / <br />/W,/A <br />Postage <br />Cerul,ea fee <br />Speoai Debvery Fee <br />flevr¢ipe Oeigery Fee <br />eeimn eece~pr Snowing <br />ip Wnpm g Daie De <br />Felurn Fec¢ipl lrp ld <br />Oaie, one AO e's Aee ess <br />*Oi AF Pos~a~~. <br />B Fees rf~' <br />q <br />Postmark o Dal ` „`~~~ <br />M` ..1~/ <br />U <br />c <br />QJ <br />0 <br />Ln <br />T <br />N <br /> <br />c_ <br />E_ <br />C7 <br />r <br />V <br />F <br />0 <br />