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iii iiiiiiiiiiiu iii • ~ <br />999 <br />i SENDER: i aiso wish to receive the <br />• Complete items 1 anO/or 21oi additional sernces. <br />r • Complete hems 3. 4a. antl 4b. IOIIDWIn SBNiCeS tit/ an <br />9 ( <br />r • Prim your name and atldress on the reverse of tnis loan so Thal we can return Ibis extra lee): <br />I card to yyou <br />I • Attach Ibis form Id the Irnnl of Ih¢ rmilpiece, or on me bacA it space tloes not <br />i <br />i <br />1. ^ Addressee's Address d <br />perm <br />t. <br />• Wnre 'Relum Receipt Reque51e0'on the msilpiece below the addle number. 2. ~ Restricted Delive <br />ry m <br />W <br />I <br />• The Return Receipt will show to wham the an¢le was delivered and fhe dale <br />deP.vered. <br />Consult postmaster for fee.: <br />$ <br />CIe Atldressed to'. <br />i 3. A <br />rU 4a. Article Number v <br />/ <br />~ <br />~l~~J.TYI ~fi~„~o~n ~3~ '790 bf~ <br />C~'. O, v~~~ !g l~ <br />r~.,~.~, c~ . g <br />'5. Received By: (Print Name) <br />6. Signatu i r~ee ~g f) <br />X /~ ,,.. <br />PS Form 3811, December 1994 <br /> <br />b. ~ervlce Type <br />islered <br />A <br /> <br />~Certdied c <br />r <br />i <br />~ ~ gg <br />~ Eicbress Mail ^ Insured t <br />O1 <br />c <br /> Q' Return Receipt for Merchandise ^ COD ~ <br />~ ! ,date of Deliv ry f <br /> 0 <br />8. Addressee A dress (Only i(requesred ,'~ <br />and lee is paid) ~ <br />m <br />c <br />F <br />102595-99-00229 <br />rn <br />-ti <br />P 436 79Q '~,7 _ o•- <br />;, <br />US Posfal Service ~ <br />,¢• <br />Receipt for Certifi d it q~ <br />No Insurance Coverage Provi Q <br />Do not use for Intemafional Mail ~A el U <br />N <br />m <br />0 <br />M <br />0 <br />LL <br />N <br />o. <br />Sent to [L.M ~.. <br /> ~ <br />St Ib~ r~~ /n/~ ~ <br /> <br />Pd Ice le, b Z Cade Q <br />J O <br />~ <br />. 1fj <br /> <br />Postage <br />a _ 3 ~ r <br />N <br />Car6fied fee U <br /> v ~ <br />Spedel Delivery F ~ ~ C~ C <br />Resldged Delive N <br /> <br />Rehm Receipt S to ,,n(~ <br />~ L <br />Whom b Date Deli y!I' ~ J (n <br />e~ se Y <br />a u <br /> M <br />TOTAL Postage b Fees $ a, ~ ~ <br />"' <br /> * <br />~ <br />Posenark or Date <br />V <br /> <br />