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o SENDER: <br />9 •COmplela items 1 endor 21or eddieoriel MMCee. I eISO Wish 10 reC01V0 ltle <br />e •Complete same 3, Ie, en0 40. (ollowing SBfVICe9 (for en <br />o <br />~ •Pdm your name end etldreee on the reverse of Ihie bmn W tliet we ran velum INe e7dr0 (ee): <br /> card to you. Q <br />~ •Attech this brm to the honl cl the mallpace, or on the beck if specs does not 1. ^ Addressee's Address <br />o W te' <br /> Aetum gece/pr Regrrerted'an the me9piece below the enitle numhec <br />• 2. ^ ReshlCled DBlivery y <br />$ •The Relum Reoeipl will show to wlgm U1e edide was de Warad end the date <br />~ delivered. Consult postrnaster for fee ~ <br />o_ <br />m • 3. Artlcle Addressed to: <br />E ~o~0!-dC~O ~ Y/'!~S <br />/~~/n//~70_ S'o o~ l,s <br />5. R ceived By: (Print Name) <br />W <br />~ 6. Sig re: (Add NOr Age <br />r X~-~.e~ ~~r,~.~. <br />A <br />PS Form 3811. December 19 <br />C <br />C <br />e <br />e <br />i <br />t <br />r <br /> <br /> 4a. Artlcle NuTba°r~ ~rr~(~ o~///~ & <br /> <br />_ b. Service Type <br />istered <br />^ Re ; <br />Certltled <br />' ~ `~~ ~ <br /> g <br />^ Express Mail , <br />{] Insured 5 <br /> ^ Retum Receipt for Merchendse ^~ COD <br /> 7. Date of Delive ry <br /> ~ <br />`~ 7 <br />/ ~~ '071 <br />a°• <br />S. Addressee's Address (Only if requested ~ <br />end tee is paid) 9 <br />102595~9]~B-0t]9 <br />P 436 784 317 ~ y <br />US Postal Service ~ <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Provided. ~ <br />Do not use for In a 'onal 'I See reverse <br />Se <br />v <br />t~FrteS <br />Slmet~ um [ (+~ / t <br />PoSlate, 8 P ode() ,,,, <br />~ 8~a ~ a <br />Postage $ ~ <br />Cerefe0 Fea O <br />Spedal Delvery Fee <br />Resbided Delivery Fee <br />', Retum Recd ~n6(D <br />Whom 8 D <br />B <br />F Redm R <br />Dale, 6 's <br />~ <br />TOTAL Otte e8 F <br />I $ , oZ~ <br />l Poshnerk rDa <br />USPS <br />t ~ - <br /> <br />' <br />nl to <br />