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SENDER: <br />•Cartplata ilanK 1 anNor 2 for additional aarvicaa. t also wish to receive Ne <br />+ •CarglMa aama 3, 1a, and 4b. 10MOwlOg SBMCBS (fot en <br />y •Pnm your name and addregs on th6T9verae of this form so that we can rerun tlvs extra fee): <br />~' •Anrach rh selonn to the from of the mail ece, or on the beck it s ace does rwt <br />it ~ <br />1. ^ Addressee's Address ~ <br />2 <br /> ~mrt <br />• Wdte'Rerum Recei I R uesfed'on the mail lets bebw rh' <br />a <br />h~ <br />p <br />Q <br />d 2. ^ RBStflCled Delivery y <br />$ <br />~ wiY <br />how to whom Iha ami <br />e <br />•The Retum Recei <br />s <br />e was tleM1vepd aM I <br />tlelivered. ~ <br />Consult postmaster for tee. <br />~ <br />O + <br />Y 3. Artie ^I~1 re's`eend to^: '~.,w` <br />~ <br />117G rG~le y,Qlbar3s1 ,~ a7 <br />E ~ <br />`0~ <br />P r, 4b. Service Type <br />3 ~ ~A v <br />~ CtbyO` 1 <br />R7J` 'b `i <br />c ^ Registered I~ertified <br /> <br />Mail ^ Ins <br />es <br />^"` <br />d <br />O1 <br />~ <br /> , <br />_ xpr <br />ure <br />s <br />^ Retum Receipt for ^ COD m <br />e 7. Date of Deliv b <br />Z eP r <br /> 5. Received By: (Pont Name) /l., 6. Addressee <br />and lee is r' esfed <br />> ~ <br /> F <br />~ na : (Addressue <br />Ag~ <br />6. S ~6, <br /> <br />0 X <br />~ ~ <br />+ <br />PS Form 3871, December fssa Dome turn Receipt <br />~c• <br />i ~ <br />~~\6 <br />4' <br />J <br />m <br />_m <br />c <br />p$ <br />O <br />IL <br />a <br />P 21 351 627 <br />A~ <br />u - C <br />or Certified Mail ~ <br />rants Coverage Provitled. <br />oot use for Intemadonal Mail See reverse ' <br />a <br />~ <br />l <br />JI <br /> <br />~H. r 1W <br />hh~~...~~ <br />Olfim, Srata, 8. Code r~ b 01 <br />Postage s <br />CertiAed Fee ~~- <br />Spedal Delivery Fg1 ~ h <br /> <br />~. <br />: - ~ <br />. <br />: .~ <br />RestrlUed OeGve <br />Eea a <br />~ <br />i V <br />Relum Recept Sh~rxig 1 ~ r ~ <br />WhamB Date DaG <br />Retum Recepl5ho•ig bN7roin, .-`. _ .. - ,~ <br />Dale,6Mdessee's AdAest'~. ~ CD <br />TOTAL Posage 8 Fees a <br />PosbneM or Data <br /> O <br /> <br /> n <br /> v <br /> ' <br />1 <br />1 <br />1 <br />1 <br />i <br />