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o • Complete itama 1 anNOr 2 for additional aervicee. I a1S0 wish t0 feCeivB 1110 <br />m •Complete ilertu 3, Ia, and Ib. }OIIOWIng aervICOS (fOr 8n <br />o • Print your name and address on Ne roveroe of this loan so that we can return thin Bxtra }eB): <br /> wrd to you. ai <br />~ <br />j •Anach this form to the horn of the mailpiece, or on the batle it apace does nm 7 , ^ AddreSSeB's Address <br />` <br />m • W n e11Retum Recei r R uesred' on IM mail ace below the anicle number. <br />p eq Ir <br />2. ^ Restrcted Delivery d <br />y <br />i <br />213 351 977 <br />S Po Service y <br />Re eipt for Certified Mail y <br />N~ nsurance Coverage Provided. <br />•The Relum Receipt •nU show to whom Ina amtle was delivered antl Iha tlme '~ <br />~ "^~..,^.^" C It bn t } tee n <br />0 <br /> <br />or <br />i. <br />X ~, <br />I PS Fortn 9811, December 1994 <br />y <br />lm <br />~m <br />i <br /> onsu pos as er or <br />~~® <br />A ~ le N bar ~~ <br />1 ~ ¢ <br />1 <br />4b. Service Type <br />\/ ' i <br />d <br />^ Registered ,A Certified ~ <br />^ Express Mail ' ^ Insured I <br />c <br />^ Return Receipt for Merchandise ^ COD • <br />i <br />' ~ <br />7. Date of Delivery <br />5! %~- 9~ <br />T <br /> <br />B. Addressee's Address (Only i/requested ~ <br />and tee is paid) t ~ <br /> t- m <br /> <br />o not dse for Intematlonal Mall See reverse .s <br />to W <br /> r <br /> w <br />~~~ ~~ <br />~ <br />DRlce, $lale, r<t. COd ~ ~ <br />D <br />Poste9• p.Y f ww <br />7 <br />L'ertlfied Fee ~rPf <br />Spedal Delivery Fe R ~' N <br /> j <br />Resbided Delivery ee s ~ <br />Relum Receipt Sho to ~ <br />Whom d Dale Defivem ~ <br />Realm Receipt Showirp m P$ L <br />Dare, 8 Adtressees Adaeu ~ <br />TOTAL Postage 8 Fees $ ('; <br /> C <br />Postrnerk or Date <br />rn Receipt $ <br />' r ~ <br />•complete itartle 1 and/or 21or eddldonal services. <br />•COmplete items 3, <a, end 46. I a150 Wlsh fD reCe1VB U1B <br />• PnM your name and address on the rovaroe al thin form so That we can return true following services (for en <br />mrd to yov. extra tae): <br />•Aaach Ihie form to the honl of the mailpiers, or on Iha badr it space dose not <br />p°Rnit~ 1. ^ Addressee's Address _m <br />•The Return Receiptrpwi~~ow Ie whom the aditl Was idol veretl <br />2. ^ Restricted Delivery <br />and the d <br />l <br />y <br />2 <br />delivered. a <br />e <br /> <br />~• A ressed to: Consult postmaster for fee. <br />~ <br />l <br />8 <br />S~~ <br />L `~t~1~,~~- c <br />elJumber <br />3 I m <br />e <br />~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />~'\ <br />~ <br />y _ ~, _ _ . /t 4b. Service Type <br />~ V <br />~J <br />' <br />~`~ <br />J~J <br />L <br />X <br />l~ <br />' <br />J - `_ u~~~ <br />Acct h/~ ~,~ `, <br />^ Registered 1~7 Certified <br />^ Express Mail •/LSJ Insured m <br /> <br />5 <br />) <br />Kv 1 ` <br />JT _ <br />8 O ^ Return Receipt for Mer ndise ^ COD <br />7 <br />Date of eli ~ <br />f <br />~O' <br />V . <br />ry <br />is 9 <br /> <br />5. Receivetl By: (Print Name) <br />8. Atldr ssee's Address (Only it requested ~. <br />~ <br /> and /ee is paid) . <br />i. Sign re: Addressee arAaentl fi <br />fifi <br />~ <br />I$ <br />Ip <br />0 <br />r <br />PS Form 3911, December 1 <br />213 351 976 <br />Post Service <br />ec 1pt for Certified Mail <br />No I urance Coverage Provided. <br />m n1 „en inr IMnrnnennnl \Inil /Cna rn~mmnl 1 <br />r <br />~0 <br />~~ <br />a <br />rnq <br />G <br />O <br />M <br />(_ <br />0 <br />LL <br />N <br />a <br />o . <br />be <br /> 7 <br />e, IP Cod ~ <br />Postage <br />••~ (X fVII4.~, ~ <br />Certified Fee ~ 9l ~ <br />Spedel Delivery ee ,l ~ F\ <br />Restdded Deliva Fee ~ U <br /> <br />Return Receipt Sh ~ng I ~ R <br />Whom 8 Dare Delive _- <br />ReavnPeceip15fxnripb ~ <br />R <br />Date, B Adtressee's Address <br />TOTAL Postage 8 Fees $ <br /> <br />PosMark or Date <br /> d <br /> C <br /> n <br /> . <br /> c <br /> <br /> <br />