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Fo <br />D <br />i <br />0 <br />5 <br />0 <br />u <br />eGrrrYGrl• <br />aCan+plae hems t endor 2 for addltlonel serKCes. <br />I also wish tD receive the <br />•Carnplae items 3, de, eru 4b. (cllOWing BBrviCe9 ((df an <br />•Pdnt yo« name erW address on Iha reverse of this form ao thal we fan velum this 6%ha fee): <br />Caro to yau. 8 <br />sAnech this roan to the hoe of the meilplace. «an the bed if specs dose nel t, 0 Addressee's Address <br />l <br />Werum Rea/pt Requecred'on the maepiece below Me ertfde number. <br />• W B 2. ^ Restricted Delivery y <br />•The Retum Recelpl wil show to whom the erlltle was delivered end the Date ~ <br />daivared. Consult postmaster for fee. _ <br />L l.1 i 5 M. Va ~r.(.I. e Z <br />~ ~ O . B oX ~ZZ <br />~y DNS, Co Soso <br />g 6Jpm <br />T <br />~~ c <br />w <br />PS Forrn 3811, December 1994 <br />4a. Article Number <br />P ~F3 ~ ~~3 <br />sad S <br /> <br />4b. SeMce Type <br />0 <br />^ Registered '~Certifled a <br />^ F~cpcess Mall ^ Insured c <br /> <br />[] Retum Receipt for Merchandse ^ COD e <br />7. Date of Delivery <br /> <br />5 ?1`i_~r 0 <br />8. Addressee's AddFess (Only it requested ~ <br />end /ee rs paid) 9 <br />r02595-9]~B-0t]9 <br />r ^ <br />LJ' <br />P 436 783 .537 ~ ~„ <br />US Postal Service iF <br />Receipt for Certified Mail~\~' <br />No Insurance Coverage Provided. ~~~ \~ <br />..., r... r,.re.n~e..nal Laail LSwe >e !S~ \~ <br />0 <br />.C <br />a <br />C <br />C <br />d. <br />i <br />u <br />U <br />0 <br />se "° ~ AS <br />huts uez ~ <br />8 Number <br />p gfice, Slate, 8 Z Code n,o ..~,[P_ <br />" J~ <br />o S © d <br /> <br />Postage $ ~ ~3 <br />Certified Fea ., ~~ U <br /> ate/ <br />Spedal Delivery Fee <br />Rasldcled Detivary Fee v a~~, I r <br />Rehm Recdpt Showing to B <br />~~° <br />Whom 8 Date Detivera0 a <br />ReCm Raceyl5hoa+4NWhom, iv <br />bate, 8 Mdresee's Pdde+s <br /> <br />TOTAL Posla9e d Fees <br />~ Poabnerkor Data <br />i <br /> <br />~I <br />~t <br />r` <br />C <br />s< <br />N <br />E <br />t~ <br />D~ <br />J~tQ~ <br />/L <br />f~ <br />M <br />T <br />~M_rt <br />cV <br />C <br />