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<br />d SENDER: I also wish to receive the <br />v •ComPlela items 1 aMlor 21or atltlitiorud services. <br />b •COmplete items 3, 49, and 4b. fOllOwing SBNiCBS (fOf an <br />~ • Pnnl your name arq address on the revere al this tone so that we can velum this antra fee): <br />wrtl to you. si <br />> •Adach this form to the front of the mailpiece, or on the beck it etlaCe does nol 7. ^ Addressee's Address `-' <br />o •Wn ei1 Refum Recei f R nested' on the meilpiece below the article number. t <br />$ •The Retum Receiq will s~ttow to whom the snide was delivered and the date Z• p ReStrlcted Delivery y <br />~ delivered. Consult posbnaster for fee. <br />0 <br />v 3~. A(rti~cle~Adhtlrhess~ed to~~ p~/-~y~ 4a. rtlplejJt~ber ~ ~~ <br />~1 vw'r/' w/ l rv"K~K/' 1. 1 NI ~ <br />E 4b. Service Type <br />v ~ ~~~(~ ~, ^ Registered Certified <br />m ~ <br />r~ r ~ D ^ Express Mail Insured 5 <br />va y`l rw~'{~C'e`wV\` re <br />~ ^ Retum Receipt for Merchandise ^ COD ~ <br />0 <br />l] G ~1 ~ Np _h1 ~~ 7. Date of Delivery <br />z J 1 v 1 lJ f 2_ 2 ~( 9~ i, <br />5. Rec ~ ed By: (Print Name) 6. Adtlres ee's Address (Only i1 requested ~ <br />~rY~ C rr-~ end lee is paid) s <br />r <br />6. Signatur ~ ddrssse Agent) <br />~ X l/ '~~ <br />n <br />PS Form 3811, Decemeer tssa Domestic Retum Receipt <br /> <br />