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<br /> <br />y SENDER: <br />9 •CAmp191~d Hems lanNOr2lor edtlitinnal serviwe. I also wish ';o receive the <br />e <br />m •COmpluta items 3, 4a, ald 4D. <br />•PnM yoi r name and atldress on the reverse of this form s0 Met we Can return this tellOWing SfrrYlCeS (1Or art <br />B%Ife feB): <br />`N <br />~ card to you. <br />•Atlach tins lomi to the fiom of the rtmilµers. or on the back i/specs does na <br />f. ~ AddrBSSeBS Addn355 <br />•~ <br />d <br />m <br />.$ pBrmil. <br />•WnIB'Aalum Receipt Requeefed'ori the mailpece below the aniol0 number. <br />•The Return Receipt rill show to xnom the attmle was delivered and the dale <br />2. ^ RESldded DEIIVBf•/ <br />N <br />~ delivered. <br />~ Consult pcstmaster for fee. <br />~ a <br />v <br />d '~'9. Article Addras ed to: , ~ <br />J ~ <br />~~ ~ J ~~~ ~ ~' <br />~ 4 rG Number <br />~ ~ ~ (o G~ St <br />G)O I u <br /> _ <br />, y <br />E <br /> <br />° <br />~C~>_.~a,K.. k CSC( <br />~F•~.~1 Cfo(ll_l~rT~JV <br />~ 4b. Service Type <br /> <br />ltified <br />^ R <br />iste <br />d ^ (: <br />°' <br />u <br />`~ SQV.'~Yl }~~,Qj{- re <br />eg <br />e <br />^ Express Mail C7 Insured ~ <br />m <br />~ ~.• <br />~'I1Q.t"1 ~~ -~~ , ~, L ^ Return Receipt for Men;handise ^ COD <br />~-~~ ~ <br /> 7. Date of livery . <br /> <br />z -- ~ <br />_ o <br />,, <br /> S. Received By: (Prrnt Namei 8. Addressee's Address (Only if requested ~ <br />w and 7es is paid) t <br /> t- <br />~ , 5. Signature: (Addressee or.4genrJ <br />a <br />'' XS~~~ \f,~ ~. <br /> <br />PS F°orm 3811, December 7994 <br />,~ ~. <br />c+ <br />t <br />ca <br />C~ <br />CJ <br />;v <br />C <br />[~ <br />!n <br />r <br />1'V <br />C <br />fD <br />EN <br />~ m <br />C!) <br />c~ <br />•-- <br />M G <br />~rr~O~ <br />~! ~ <br />o <br />LL <br />!n <br />s a <br />P X76 556 501 ~t <br />US Postal Service Sp9C. ~'-~ <br />Receipt for C~ _ ~~ 3 <br />No Insurance Coverage ProvideCr----' <br />Do not use for International Mail /See revacsel <br />nIl ~~ ~_~4'taFl <br />N 8 lum6~ <br />s101fice. Stale, ZIP Code <br />Postage a <br />Cerofiad fee <br />Speoal Delivery Fee <br /> <br />Restncied DetiveryF ! ~~_ <br />_f 'nyt~ <br />Return Recctipt S )p` <br />Yaam d Dete roretl" <br />RPAIlrl Recept sld+g to <br />Oats, 6 Md~seeE Amrba =.,i <br />"~ 1 <br /> <br />TOTAL Postage d Fees <br />r <br />9.4T <br />Postmark or Dale <br />_~_ <br />~.,;~ ~ _ <br />e %'' <br />