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SENDER: , <br />•Complele items 1 dndlor 21or additional SerViteS. I a150 WISE1 t0 reCBIVe itle <br />ie •Complele items 3, <a, and db. fO110Wing ServlCea (tOr an <br />• Pad i orolname Bnd address on the reverse of this lortn so That we can return This e%if8 f6ef: •,~\ Y <br />y •Atlath this loan to the from of the mailpiece, or on the back if space does not f . 0 ~ (e5~ s Address ~ 3 <br />,~, permit, y~Z1 <br />p • Wnte'Fletum Receipt Requested' on the mailpiece below the article number. 2. ~ Res C1ed~D1lvcajy y <br />L, oThe Relum Rece~pl will Show to whom the anirie was tleliverad and the tlale ' 4 <br />~ tlelfvered. Consult postma3ter r tee~,~ <br />0 <br />Y 3. A.'cle Addressed to: AAicle Nul>?ber .l - I c <br />E ~ : . .• .Service Type cyCAGJ, <br />5~,, u <br />i~ ` ~~ ~Sl~4.t~ ^ Registered ertified ~ <br />O "~~„~ G'i'Y~ ^ Express Mail ._'p Insured S <br />~„jad1~ _ ~/owl n <br />~O~ ~ ~, 1 ~ ^ Return Receipt for Merchandise pCOD ~ <br />(~ 7. Date of Delivery <br />0 <br />z ~' (8-~ a <br />~ 5. Receivetl B : Pdnt LJe ~J 8. Addressee s Address (Only it requested, ~ <br />w and tee is paid) ~ <br />g 6. Signature: (Addressee or Agent) <br />r ~ X m n~~~ <br />n <br />Ps Form 3811, December issa Domestic Return Receipt <br />P 21 351 63A <br />~~ ~ v <br />S e ~ <br />or Certified Mail <br />~~ n ce Coverage Provided. +~ <br />_ use for Intematfooal Mail (See ravers~w <br />t~,aea S ~ <br /> ~ <br />CeroAetl Fee 3 <br />Speeal pdivery Fee N <br /> ~~ <br />peseided Delivery Fea _. _ <br />Return ReceiD1571dwle8 to' \. ~~ ~ ~ <br />. <br />Whom 8 Dale beliveied- ' < <br />_ <br />=3 Realm RacroN ~DmWmm, ~; ` <br />~ CD <br />~ <br />`~ I)a~,~ eSBe`;~ 1 <br />TOTAL Pmtagd6'FiDe' r ~ <br /> O <br />Pf posbnadi or Data <br /> <br />LL ~ ./ <br />a ~\ ~' O <br />W <br />