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<br />Complete items 1 andor 21ar additional services. I also wish to receive the <br />•COmpIMe items 3, ~a, and 4D. fO110Wing SBrVICes (fef an <br />name and address on Ne reverse of This lorm so Nat we can return This <br />• ad 0 ~ our extra tee): <br />~ <br />YO <br />•Aaach This form ro the ham of the mailpiece, or on the crack it space tloes not <br />it <br /> <br />t, ^ Addressee's Address o <br />u <br />perm <br />. <br />•Wdte'Relum ReCeipr Requesled'on the mailpiece below the oracle nurnaec <br />2. ^ RBStdcted DBIiVery ~ <br />y <br />•The Return Receipt will show to whom tae article was delivered and the date ~ <br />delivered. Consult postmaster for fee. <br /> ~ <br />3. Article Addressed to: 4a. Article Number m <br />,,,a~Sea' <br />C3c <br />4 Prs~ P sa 71'i b <br />y, <br />, <br />+ n <br />G~ P~ ~ <br />1 f`°•i 4b. Service Type <br />d <br /> ^ Registered B.Gertified ~ <br />~ <br />/l~ ~ ~ ^ F~cpress Mail ^ Insured 5 <br /> <br />ry, _ :.{.~, _ G „_ _ ~ ~~~ <br />~ <br />~ <br />'J <br />' <br />^ Return Recei t for Merchandise ^ COD w <br />r <br />Ylv~.l.a,~M <br />•~ <br />7 7. Dat~~ D lye <br />6 (7~ <br />~ <br /> r <br />5. <br />Re <br />ce <br />ived By: (Pont Name) 6. Addressee Address (Only it requested ~ <br />~ <br />J <br />' <br />•E.5[l ~ ~.~ and lee is paid) t <br />f <br />6. Signature: (A dresses or Agent) <br />X <br />as Form 3811, December 1994 Domestic Return Receipt <br />