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~ SENDER: <br />•canpete aeme 1 and/or 21a eddtliorol Krviuc. <br />I a190 WISh t0 reCeiVe 1t16 <br />a .Compete sewn 3, ae, end ae. tollovAng services (tor en <br />4 •Pdrd your name end atld~ase on tna rewne of inh farm so Nat we can return Inie <br />rard to you. BMre le9): <br />t1 <br /> •Atlach Nie form to Ne frorn W the meilpiace, or m the 6etlr if ovate daea nc0 1. ~ Addressee's Address <br />t <br />` <br />° • Write FleNm Recei Requested' on the mail lace below Na ertide number. <br />yr a' 2. O Restricted Delivery y <br /> <br />~ •The Relum Receip will chow to whom Ne artlde was delivered end the date <br />aeliverad. <br />Consult postmaster for fee. ~ <br /> <br />0 s <br />0 <br />~ 3. A:gGe Addressed to: <br />/ <br />~ 49. ArtlGe Number <br />! <br />G Q X <br />3 x <br /> , <br />~ 0 <br />a <br />33 <br />E ~~. _ <br />~/~, 4b. Service Type ~ <br />°u ,7 3 ~ egisteretl ~erdfied <br /> <br />ress Mall ^ Insured <br />^ F~c <br />a <br />~ <br /> _~ <br />~l Jl p <br />^ ReWm Receipt for MOrchandise ^ COD ° <br /> ~ <br />W <br />/~ 7. Date of Delivery / <br /> <br /> 5. Rece(ved By: (Pdnt Name) 8. Addressee s Atldre~3 (Only(Jrequesfed ~ <br /> and (ee is paid) ~ ~ ' -, ~ <br />~ ° <br /> ent <br />na : (Add ee or A <br />6 <br />5i ~ <br />~ <br />~ g <br />. <br />g <br />j, X J <br />. <br />~ PSFotm3811,Dece ~ -~°4~ -_ 1925959re-0119 Domestic eturnReCeipt <br /> 3 <br />Z ,~ 6 8 ~' <br />3 <br />16 3 <br /> r~ <br />a, <br />~ <br />~~, ¢Y; <br />US P°SWI S <br />rv <br /> e <br />i <br />A,f,~ ~ o <br />Recei <br />t f <br />~ <br /> p <br />ori <br />~b <br />No Insurance Covers e p 6~. <br />rl Hdetl. CO <br />Do not use for lnte <br /> mationa <br />se 1 q d See reverse O <br /> U. <br /> t <br />bar ~ <br />7 3~ ~ <br /> F t <br />e, a code ~ <br />m <br />CJ ~~~ ~ <br /> Postage <br />~ <br />$ t„~~_ L~ <br />J <br /> CeN6ed Fee <br />N <br /> ~ <br /> Spatial Delivery Fee <br />~ <br /> <br /> ~ Resldged Delivery Fee G <br /> ~ Return Re ~ <br />Whom 6 Da a pal ve~etl to E <br />~. 2g- a~ <br /> d fleeen flaceiq b <br />R10Wn9 Wean' <br />Dale <br />a Add <br /> , <br />r <br />U) <br /> ~ TOTAL ~ ° G'7 <br />r <br /> Ros ate (^9 <br /> ° L ~ Q o a r <br /> a ~~ ~ cr ~ <br /> bo.. _ D <br />