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m SENDER: <br />v •Compete items 1 and/or 2 for adtlilional services. I also wisn to receive me <br />m •Complete items 3, 4a, antl 46. follOWing S0rviC0S (}Oran <br /> • Prim your name and address on the reverse of this that we can return this e>Rra tee <br />i <br />u <br /> certl to ycu. <br />•Ad~; this brm to the kom of the mailpiece. or on the back it space does not t. ^ Addressee's AddreSS <br />p •Wtlte'Rearm Receipt Requesred'on the mailplece below the snide number. Q, ^ ReSidCted Delivery y <br /> •The Return Receipt will show to whom the artitle wan tlelivere0 antl the date <br />tlelrveretl. <br />Consult posbnaster for fee. <br />~ <br />O <br />Y <br />n 3 ArDcle Addressed to: rticle umbel c <br />E 4b. Service Type ~ <br /> <br />u <br />° <br />f° Vt...~-tilU ,___Yl (_ ^ Registered Certified <br /> <br />c <br />~ <br />r <br />ii <br />W ~ O ~J~' ~ ~~ ^ 6rpress Mail sured ~ <br />C r- ^ Return Receipt for Merchandise ^ COD ~ <br /> t-t~~ ~ Date of•De ivery <br />7 <br /> . <br /> ` <br /> 5. Received By: (Print Name) 8, Addr <br />e's A Qre~s (Only i/ requests ~ <br /> and /eeg}s p <br />aid) ~' ~ <br />\ c <br />~ r <br />A <br />g <br />enfJ <br />6 ig 'a d e o ae <br />s,~0 ; <br />~ ~ <br />O nn <br />aa <br />rnrn <br />~~tt <br />PS Form 3811, December tssa ~~ 'domestic Return Receipt <br />P Se6 419 138 <br />SUS Po Ice `M ~~'2~ ~ <br />,,,,ppCR pt fo rtified Mail <br />CJY' No Insur verage Provided. <br />F~~f <br />°a <br />C <br />a <br />C <br />° <br />C <br />i <br />u <br />0 <br />, ngtQSe for Intemaa0nal Mall JBB reverse -+ <br />to ~''~ <br />1 <br /> W <br />6 <br />S <br />~ <br /> <br />ice, Sute, Cod r ~ <br />VU ~ <br />3 <br /> <br />Postage <br />S p <br />7 <br />7 <br />GNfiea Fee t <br />~' ~ <br />~ <br />~ ~ <br />3 <br />Spedal Delvery Fej ~ .. '~,. N <br />j <br />Residmed Delivery Fee ~ ~~.t ~ ~ <br />Return Receipt Shdwing to ~ ~ <br />~ <br />' Whom 8 Dete Delivered % <br />'Realm Recut SM•yp m _ <br />' _ ~ ~ <br />s AdOess <br />Dare, 8 PEA'essee -~ <br />TOTAL Postage d Fees $ ~ ~', <br />t Posbnark or Data C <br /> <br />1 C <br />s C <br /> L: <br />