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o SENDER: <br />v •Complete Items 1 anNOr 2 br addillonal seMCee. <br />'n • Complete items 3, 4e, and 46. <br />~ • Print your name and addreaa on the rewree of this brtn w that wa can return this <br />cartl to you. <br />~ •Mach this loan to the horn of the mailpieca, or on the bade II space does net <br />pemtit. <br />y •Wdte'Relum Roceipf Requested'on the mailpiece below the article number. <br />$ •The Return Receipt will show to whom the etlide waa tleliwred entl the date <br />~ delivered. <br />O <br />0 3. Article Addressed to: 4a. Artcle h <br />a~t ~ ~~Q,rt,{JO I'V~ ~ Z L <br />I also wish to receive the <br />following services (for en <br />extra fee): <br /> <br />1. ^ Addressee's Address ai <br /> <br />Z <br />2. ^ RestdIXed Delivery y <br />Consult postmaster for fee. ii <br />.~ <br /> v <br />e ~ m J~~ >; ~'n V~ ~~ 4b. Service Type <br />v ~Qa'L ^ Registered <br />w U ~ ~ (~ ~2 ^ Express Mail <br />^ ReNm R~c6ryE <br />G <br />, <br />7. Date De~ry ~ `~-~ <br /> \\ <br />~~y~ <br /> _ <br /> 5. Received By: (Pdnt Neme) e. Ad e^s rets"s (O <br /> nd I js'pAld~ -' <br /> \ <br />~ <br /> ~ <br />~' <br />c 6. Signature: (Addre a or ent) ~ <br />. , <br />A <br /> PS Form 3811. Dece ber f ssa Domestic F <br />Y <br />^ CeRifled 'm ` <br />^ Insured m . <br />^ COD ~ <br />:~ <br />T <br />requested ~ <br />r <br />