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<br />r o SENDER: <br /> <br />'~ <br />aComplel9 items 1 anNOr 2 for atltlitional services. I also wish to receive the <br />n aCompleta items 3, Ia, and qo. fOIIOWing aeNioe$ (fOf an <br />i s Prim your name and atltlres6 on the reverse of this brm so that vn can return this 9XIra fee): <br /> <br />> card to you <br />aAnach this tans to the honl of the mailpiece, or an the back it spats dose not <br />1. ^ AddrBSaeB'e AtldfesS u <br />u <br />Y <br />a, permit. <br />• Wnte'Rerum Receipt Requesfed'on ttre mailpiece below the article number <br />p, ^ Restdcted Delivery d <br />y <br />L erne Relum Receipt will show to wham IhB snide was delivered and the date <br />C delivered. <br />0 <br />' d 33. Ar~tic/l~e,Addressed to: <br />a l / ~v-a ~ ~ tJI.LA.U-M1L. <br />°~~+ o I'j o~ G o'1 <br />5 a~.d~. C.o g 120 ~ <br />5. <br />c 6. Sig ~ e: ddressee r,Ager, <br />~, X o <br />n <br />PS Form 3811, December 1994 <br /> Consult postmastertorfee. ° <br />u <br /> <br />4iH~rUCj~ jV~ber 3 <br />~l ~l~ <br />51 <br />4b. Service Type 3 <br /> <br />^ Rogistered ^ Certified d <br />~ <br />^ Express Mail ^ Insured ~ <br />m <br />^ Return Receipt for Merchandise ^ COD <br />7. Dale o el' ery <br />/l <br />o <br />0 <br />r <br />B. Atldr sse 's A dress (Only i! requested ~ <br />and lee is paid) t <br /> H <br /> <br />~~1 746 _ <br />U s ice <br />for Certified Mail <br />~_wG' No I once Coverage Provided. <br />~~ <br />s <br />i <br />i <br />C <br />C <br />O <br />C <br />i <br />V <br />0 <br />0 <br />r~ <br />0 1 use for lntemational Mail See reverse <br />~ o <br /> <br />8 ZI ode <br /> ~ <br />Pmtaga „~ i~aeu <br /> 7 <br />Cerdfied Fee P S <br /> <br />Speaal Delivery qi ' <br /> f\ <br /> <br />Resmiaetl Deb Fee <br />t U <br />~ Return Receipt Sho ' g to C <br />' Whom 8 Date Delive 7 ~D <br />} ReESn Recto Shunq m < <br />Dale,B Addeaee's Addeo ~p <br /> _-. <br />~ TO7AL Postage 8 Fees <br />I s <br /> <br />I PosVnark or Date C <br /> <br /> C <br /> n <br /> C <br />