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o SENDER: <br />o •Complete items 1 enNOr 2 for additional serNr»a. <br />m •~omplale items 3, 4a, and ID. <br />o •Pnn1 your name and adtlmae on the reverse of thin krrn ao Nat we can velum flea <br />wrd to you. <br />j •Mach Nis loan to Iha hoot of the meilpieca, ar an the back it space does not <br />pemtit. <br />m •Wdle'Relum Receipt Requesled'on the mailpiece below Ne anicle number. <br />~ •The Retum Receipt rill show to whom the snide was deliveratl and the dale <br />~ tlellvered. <br />0 <br />a 3. ArtiGe Addressed to: <br />a~~~~ ~~Q 1o-e~,1 <br />;, PO ~01C Q lv~l <br />O~`t W 1 <br />5. Received By: (Pdnf Name) <br />u ~ <br />6. Si atu ddressee orA t <br />0 <br />a ~ <br />m <br /> <br />I also wish to receive the <br />following services (tor an <br />extra lee): ~ <br />1. O Adtlressee's Address -° <br />Z <br />2. Q Restdcted Delivery y <br />Consult postmaster for fee. n <br />'u <br />4a. Article Number <br />~, \`~Z l2l ~S3 m <br />4b. Service Type ~ <br />m <br />^ Registered [y <br />'cewred ~ <br />, <br />^ Express Mail Insured <br />b~ <br />5 <br />'~ <br /> <br />^ Retum Receipt for Merchandse ^ COD n <br />7. Date of Delivery <br />~n ~ .~9. 4R <br /> <br />8 <br />Ad <br />A <br />t <br />' <br />>^ <br />. <br />tlressee <br />s <br />ddress (On y i <br />requested ~ <br />end !ee is paid) c° <br /> l- <br />PS F rm 3811, December <br />