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o SENDER: <br />a •Campleta items t anaor 2 for aeailionai services. I also wish to receive the <br />m •Complete item9 3, <a, and 4D. 101i0Wing SBNICes tfOf an , <br />m •Pdnl your name arM atldress an the reverse of This farm so that we can return 1NS eMra 18e): <br /> <br /> <br />~ <br />+ <br />rard to you. <br />•Aaach this lone to the horn of the meilpieoe, or on me haUc it space does not <br /> <br />~, ^ Addressee's Address , <br />~ <br />y perntil. <br />• Wnte'Rerum Receipt Requested'on the mailpiece below the ankle number. <br />2. ~ Restdcted D¢IiVery m <br />y <br />~ •Tha Return Receipt will show to whom the aside was delivered antl the date S <br />~ de~rveree. Consult postrnaster for fee. .v <br />0 <br />Article Addressed ty:• , <br />A 'cle Number ^ ~ v <br />c <br /> ,~ <br />E 4b. Service Type <br />n ,f~ <br />1 I OI ~~~~ <br />^ Registered S] Certified <br />/ \ m <br /> <br />s <br /> ^ Express Mail ^ Insured 5 <br />x <br /> <br />~ <br />^ Relum Receipt for Merchandse ^ COD a. <br />~ <br />~ ` <br />1 1 7. Date of Delivery 3 <br />z ~ <br />~0 <br />U l~ T <br />~ 5. Received By: (Print Name) 8. Addressee's Address (Only i/requested ~ <br />~ KGB Y ~~ f(, f and tee is paid) F <br /> <br /> 6. Signatur9f dd ssee or ant) <br />i. X /,1 <br />n <br />PS Form 3817. D~ember 1994 Domestic Return Receipt <br /> <br />P 526 419 695 <br />us Po P"~~~ ~~~ <br />Receip4Yor CeFfified Mail <br />,. ~, ;yo,l+rsGance Coverage Provided. <br />f ,~~" Do not use for fntemafional Mail See rave <br />~~ ~\ <br />c <br />i <br />C <br />4 <br />C <br />.c <br />0 <br />eY~~ <br /> <br />uo <br /> <br />d u <br /> <br />e,8 P e (,~\ <br />~J <br />Postage f <br />Cerufiee Fee ~ <br />Spedel Delivery Fee ~ ~ <br />~' <br /> <br />ReStepeO Delivery Fee ~ ~ . - N <br /> '..~ <br />~ ReNm Receipt S o <br />~ ^~, ~ CT <br />Whom 6 Dale ' - C <br /> <br />Rehm Raayt Nt'dll, ~ ~ <br />• Date, 8 <br />'" 7 <br /> <br />i TOTAL P ees? <br />f-t = ,t; •. ~ <br />C~ <br />1 <br />Pasbnark or <br />~;. r 1 <br />~ <br />~ <br />\p <br />f <br />/ <br />lA~pa f~ / <br />. ~. ~i <br />l d" - C <br />1 <br />1 <br />f <br />