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o SENDEfl: <br /> <br />~O <br />•Complete items 1 andr r additional eervicea. I also to receive the <br />o •COmplele Items 3. 4a, er,._..o. fOAOWb.~6eNICes (for an <br />m •PriM your name and atltlRaS on the Mverse of tttis torn so that w9 can return Ihi6 0x1ra }ea <br />~ <br /> Bard to you. <br />•Atta <br />M <br />t this Conn to the horn of the mailpiece, or on tha beck it space does not <br />1. ~ AddfeSSBe'a AddfeSS ai <br /> ~ <br />' <br />• Wdte'Retum Ret>9i R uesfed'on the mail ieca below t <br />w <br />s <br />t he enicle number. <br />2' 0 Restricted DOlivery m <br />y <br />~ •The Return Receipt <br />ll <br />how to whom the ar <br />itle was delivered antl the date <br />u delivered. Consult postmaster for tee. <br />~ rlicle Addressed to: rticle Numb r <br />~ Z ~ y 31 ~43'~ u <br />d <br />a ~aL~on <br />~ ~/ <br />~ <br />o ~ 4b. Service Type 3 <br /> ( <br />~ <br />. GVi <br />l`- ~ <br />_ ~ S~~ <br />n _ ~ Registered ^ Certified <br /> <br />^ Express Mail ^ Insured <br /> <br />c <br />~ <br /> <br />C <br />J <br />'~.'~y <br />~ <br />~-t <br />O ~ p <br />G V ^ Return Receipt for Merchandse ^ COD <br />~ 7. Date of Delivery <br />2 T <br />7 5. Received By; (Pont Na ) ' B. Addressee's Address (ONyil requested ~ <br />w ~ and tee is paid) c <br /> <br />g <br />6. Signature: (Addressee or ant <br />' t•- <br />T X <br />4 <br />Ps Form 3811, Decem er tssa <br />Domestic Return Receipt <br />-- + <br />~ . /!J --- <br />r 6 431~43~ <br />' al Service Q <br />~ ' ipt for Certified Mail ~ <br />o surance Coverage Provided. <br />t use for International Mail See reverse _. <br />t o, ' <br />~ L. . 1 . . _ .. _ .. <br />- ----z <br />Pwlaga i ~ -~ <br />-----___ ~S'°aU <br />~:amfiatl Fee <br />Spatial Delhery Fea <br />~ -- wveas <br />~ iDTAL Postage;Fear <br />M o.,.~._~. _ <br />N <br />o. <br />