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<br />° SENDER: <br />9 •Complat• hams 1 enb'ar2loradditlond seMces. <br />1 eISO Wfsh t0 receive the <br />p •Cpmplele hems 3, 4e, end 46. f0110Wiftg SBrvICes ((Or en <br /> •Pnm your name end addrose on the reveres of this form eo Vut we can slum Ihie eldre fee}: <br /> <br />~ Card to yOU. <br />•AtleCll dda Mrm ro IM hoot of the mailptece, or on the bark it spep does not <br />t. ^ Addressee's Address <br />u pemJt. <br />• Wdte'AeNm Receipt RequaeMtl'an the mailpieCa below the article number <br />z. ~ Residded DeIIVBry <br /> •The Retum Receipt will show to whom the ankle was tlelivered end me date <br /> deevered. <br />, Consult postmaster for fee. <br />y 3. ANcle Addressed to: <br />' 4a. Articl9 Nit ~ r `~~ <br />/ <br />J <br />,l <br />/ <br />a ~~ ~ <br />~ /~ <br />. <br />~~C.~O'~'~ ~ _ _"_" '. <br />' <br />C <br />c <br />J <br />~ <br /> " 4b. Se <br />I <br />ce <br />Type <br />' <br />~ <br />rv <br /> ~ <br />a ^ Registered <br />~ ,(~Certifled <br /> - <br />a~ <br />r~ <br />~~i <br />© <br />SQ <br />3~ <br />~ ^ 6lpress Mall ^ Insured <br /> . <br />- <br />./~ ^ Retum Receipt for Mendtendise p COD <br /> \ ',, ~ <br />~ <br />, <br />~ <br />(~ 7. Date of Delivery <br /> --''~'Lv `~-~'_0 <br />. ~Jq <br />~ <br />~ <br /> 5. Received By: (Pdnf NemeJ 8. Addressee's dress (Only If requested <br /> and fee is paid) <br />~ 6. Signeture:,(Addressae orAgentJ <br />x <br />V~IC ~~ <br />e no <br />: <br /> . <br /> <br /> <br />e <br />Y <br />e <br />L <br />PS Form 3817, December 1994 <br />