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o SENDER: <br /> v .compete items 1 and/or z for additional sonows. 1 also wish to receive the <br /> 'ii .Compete items 3,as,and 4b. following services(for an <br /> o •Pdm your name and address on the reverse of this form so that we can return this extra fee): <br /> card to yau. to <br /> aAdac;this loom to the from of the mailpism,or on the back it space does not 1. 0 Addressee's Address <br /> pa Wp«e'Refum Receipt Requested*on the mailpiace below the article number. '�, 0 FYestrieted Delivery y <br /> try alhe Receipt wiA show to whom the article was delivered and the date h <br /> a8i Cons postmaster for fee. <br /> 'e <br /> y 3.A01Wdressed to: 4a.Article Number o <br /> b4cc <br /> E 4b.Service Type <br /> 3 <br /> u ❑ Registered ❑ Certified 99 <br /> ❑ Express Mail ❑ Insured <br /> c <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery <br /> `1 _ �3 - Y7 T <br /> S.Received By:(Print Name) 8.Addressee's Ad ss(Only if requested '1 <br /> and fee is paid) t <br /> r <br /> g 6.Signatu :(Addressee or Agent) <br /> w <br /> X <br /> PS Form 3811 r 1994 Domestic Return Receipt <br /> DMG-1313 Sherman R,ri. 215„Denver, CO 80203 <br /> 12 <br /> C3 n <br /> �D <br /> m <br /> a Q� <br /> rn rm 8 <br /> m E <br /> m m a m LL s <br /> a c V g �. ' i41 <br /> d pa t5g3 E g E a.e 15 <br /> Z � ~ A n a t� Jr d �3 6° Q rl <br /> any 966t IIjdV'OOSE uLJoA Sd <br /> �r� <br />