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m SENDER: <br />9 • Complete items 1 endor 2 for aooitional serWcea. I also wish t0 receive the <br />n 'Complete items 3, 08, aM Ib. }OIIDWIng SBfVIC9S (for 8n <br />m 'Print your name aM aooresa on the reverse of this loan so that we wn return Ihia extra fe0 <br />~ <br />taro to you. <br />j 'Mach this form to the front of the mailpiece, ar on the back it space tloes not <br />d <br />t, ^ Addre55ee'S Address ei <br />u <br />. <br />~ penn <br />m •Wnte'Refum Receipt Requested' on the mailpiece Chow Iha article number. <br />2. ^ RBStnCIBd DBIiVery ~ <br />y <br />L 'The Relum Receipt rill show to wham the article was oeliveretl en0 the dale <br />aeirvereo. <br />i Consult postmaster for fee, u <br />i <br />v 3. Article Addressed to: <br />~ ~Z <br />et i r~o <br />a~~ ~'e~s k~ rticle Number <br />~' ~ 2 ~-I3 330 u <br /> <br />E <br />~ <br />, <br />. <br />E _ ,l 1 <br />v C~c~d ~ r~ 1"O`jT 4b. Service Type ` / <br />^ Registered ®Certified <br /> _ I ~ <br />L <br />~• <br /> ~ ^ F~cpress Mail <br />Insured <br />R <br />J ~ <br />m <br /> `~ ~ Return Receipt for Merchandise COD ~ <br /> l~ K¢ <br />~ <br />LO <br />~ ~ ~ ~ f D <br />7 <br />D <br />li <br />c ~ <br />„ <br />J . <br />ate o <br />very ~, <br />e <br /> T <br /> <br />` <br />0 <br /> _ a <br /> 5. Received By: (Print Name) B. Addressee's Address (Only i/ equested <br />` ~ <br /> and lee is paid) i <br /> <br />~ r <br />~ <br />6. Signatu~~( dress orA e ~ <br />T y <br />A <br />al _ <br />I's Form 3811, December tssa Domestic Return Receipt <br />p 431 330 <br />rvice <br />' t for Certified Mail <br />No rants Coverage Provided. <br />ti I M I S re <br />rf <br />0 <br />L <br />Ca <br />G <br />N <br />u <br />n <br />er.~• <br />[7 <br />~7 <br />ne al ee versa <br />o <br />t use for Interne <br />1 <br />' <br />_P P.I l Y~11 <br />I (1Ca SIP S Y__ <br />_ <br />__ <br />' <br />rest Nue er <br />post Olr¢e, Slate, a ZIP e J <br />t <br />P cam S~, , <br />ostage <br />Cer6fietl Fee <br />. <br />Spedal Delivery Fee ~ <br />~ <br /> <br />Resiegetl Defvery F ~ 4 <br />Palum Retaipt Strorr'urq <br /> <br />whom a Date Derverea D <br />_ ReLm Race41 $hoeigm Wlmi, <br />Dale, a AdAessae's AdBess <br /> <br /> <br />SOSAI Postepe 6 Fees <br />i <br />~ PrutrneM or Dale <br /> <br />" fS <br />C <br />' c <br />l <br />i <br />r <br />a <br />