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m SENDER: <br />O .Compete iterro 1 enaor 21or a0oitior161 grvice•. I also wish ro receive the <br />O .Complete items 3. /4 afro 4D. tOIIOWIng SBrvIC05 (rot 871 <br /> .Prim your name Md eddraee on the feveree of lhie form eo Nat w0 can return ihie e%tra fee): <br /> <br />j rand b you. <br />.Mach Nis bfm to the horn of the meilpiece, or on the Deck II spars does nol <br />1. ^ Addfessee~s Addfe55 E' <br />o <br />m permit. <br />•Wme'Refum geceipf Requealed'on the mailpieca below Ne artima number. <br />Q, ^ RBStdc[ed DBIiVOry <br />y <br />$ .The Return Receipt will show to whom Na erode was oelivered <br />deilverea. and Ma date <br />Consult postmaster for fee. ~ <br />~ <br />o <br /> <br />3. Artice Addressed to: <br />48. Article Number ~~3 5'b <br />~ <br />36 g <br /> 1_I . <br /> <br />E <br />~ L(~ <br />TT <br />ervice T <br />4b <br />e <br /> <br />° yp <br />. <br />`~ ~ <br />i <br />rtifi <br />d <br />^ R <br />d 'e <br />u e <br />eg <br />stere <br />7G.l:e rn <br /> Express Mail ^ Insured 5 <br />~ ~ Q .. rj 8~ ~3 !~, ~ <br />_ r Return Rllceipt for Matchend(se ^ COD <br /> C q 2 <br />~ <br />~~ .Date of Delivery, <br />~ ' <br />~ <br /> OJ <br />U7L <br />. ~ `A <br /> 5. Received By: (Print Name) 8. Addressee's Address (Only i! requested ~ <br /> and lee is paldJ ~ <br /> r <br />g 6. Signature: (Ad~dre~s,s,e,~e ,o^rv'LgNennq <br />X ~ila ~ I I.L1.A.! IG' <br />PS Form 3811, December 1994 102595~9]~B-01]9 <br />P 436 783 503 m <br />lls Postal Service ~ ~ <br />~ ~C <br />Receipt for Certified Maio ~,~,; <br />No Insurance Coverage Provided. ` ~ a; <br />~~jg I~ <br /> <br /> <br />Return <br />() <br />LL <br />N <br />a <br />Postage d Fees I a <br />~u~ <br />>x <br />r <br />Il~ <br />•-- <br />.1 ~ v` <br />t <br /><n <br />5~ M <br />M <br />T <br /> <br />