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i. <br />~ SENDER: <br />/ f also wish to receive Ne <br />I <br />e • Complete items 1 and <br />or 2 br emalonal esMCeg. <br />• Complete cams 3, 4e, erb ab. IOWOWIng eerviCBe (fef Bn <br /> a Print your name end addrea on the reveres of mb loan so met is ~ RW m dtla <br />card byo u 9)dre IBe): <br />E <br /> . <br />• Attach this loan b the hoot of the mellplece. or on the bsok It space mss rot 1. ^ Addressee's Address <br /> <br />e pe"'"t' <br />• Web 'getum Recelpl Reprrssfed' on the mallplecs below the <br />ertlcb number. 2. ^ Restdcted Delive <br />ry <br /> • The Refum geceipl will Now b rrtlan the article wag mIMP'W end the tlate <br />delivered. CODSUIt 6tmaeter ter fee. <br />Im <br />S <br />iS 3. Artice Addressed to: 4a. Article N umber it <br />~ M0.YK ~(~.IvtnErS x Slfs @ <br />_ <br />g <br />4 * - y- ,y~ /~ <br />i ~ y S IAA . `..C1. Y 1 iy1Df.1,1 N !'T ~ • 4b. Service Type <br />^ Registered I~~ Certified <br />tS \ <br />Co <br />Veh VeY ^ Express Mall ^ Insured ~ <br />i t <br />~o Il0- 1308 ^ RetumReceiptforMerdlendise ^ COD ~ <br /> d 7. Date O slivery _ ^ C <br /> <br /> B : {Print N2mo 8. Addressee'ss A as (Only it requested Y <br /> end tee is pa ) <br /> 8. ig ture: (Addreastse or Agent) <br /> X <br />g PS Form 3811, December 1994 tozsaslle euzzs mastic Return Receipt <br /> <br />Spec ~ j <br />Z 434.94~ri/e~8 <br />US postal Service ~ <br />Receipt for Certified a - o ~ <br />" No Insurance Coverage Provitled. <br />Do not use for International Mail (See reve+se) ;~ <br />armete nun~w~ " vP. • :, <br />Post Office. Sole, 8 ~ ~ e Q e <br />D <br /> <br />l.l/J ~ <br />C <br />Postage <br />• .J <br />Certified Fee ~~ <br />Spedel DNivery Fee 3 <br /> <br />Rastnded Delivery Fee <br />rn r <br />~ Ralum Receipt Sho to .J <br />_ <br />Nmnm 6 Date <br />°o' <br />m <br />0 <br />LL <br />N <br />a <br />TOTAL <br />