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9 <br />W <br />c <br />O <br />9 <br />d <br />d <br />a <br />E <br />0 <br />N <br />0 <br />3 <br />0 <br />m <br />•COmplete items 1 anNor 2 for additional services. I a1sO wish tO reCO1Ve the <br />•Complele items 3, 4a, and bb, follOWing servlCeS (}of en <br />.Prim your name and address on the reveme of this tone so that we can return this e%Ira feB): <br />card to you. <br />• Attach This farm ro the Font of the mailpiece, or on the back it space does nol 1. ^ Addressee's Address <br />permit. <br />• Write'Aeturn Receipt Requested' on the mailpiera below the article rwmber. <br />2. ~ RBStticted Delivery <br />.The Relum Receipt will show to whom the erticie was delivered antl the dale <br />delivered. Consult postrnaster for fee. <br />/,~~'~„~`/(yfj(~/~, ~-. <br />~ <br />- _ _ ^ Registered ---. ertified <br />0S v <br />`/ <br />7/// <br />_ ~ <br />~~~ ^ Expreu Mail 4F,G <br />Q] ured <br />'" ""L <br />T Q ~ ^ Return Receipt) ~~ dies <br />p <br />~ o D o1c~~'^ <br />~ 7. Date of elive `: <br />~r~>~2 <br />~(N.~ ~ ~ ~o~s ~ ~ <br />o°~ : m <br />5. Received By: (Pont Name) 8. Atldressee s A my i(r yted <br />_. and Jee is paid) ' . ~^.. , , Q A' <br />6. Sign ure: (Addr <br />ee orA !) <br />~ <br />X <br />Ps Form 3811, December 1 a Domestic Return Receipt <br />~ Z 191 Q, 6 2 4 S, <br />U5PoslafService <br />Receipt for ~~t~fi ai ~ b ~ <br />~,,~ No Insurance Coveragel'rovided. <br />Do not use f me afio el Mail ee rev e <br />C.~ <br />N <br />3 <br />w <br />IV <br />v <br />lb <br />7 <br />CAD <br />n <br />C <br />IV <br />O <br />W <br />0 <br />Number ~ rv <br />P Olfi ,State, 8 21P Cede D <br />Postage S <br />Certified Fee X02 8• <br />Spedal Del' ~~ ~ <br />Restriaed Me Fee <br /> <br />Rehm Rec " 8do ' g to <br />Whom 8 Date eve q <br />ReesnR4epl STgnl~tn <br />Dam, 6 MA'essee's IdOas <br />TOTAL Postage d Fees S~ ~ '~_ <br />Posbnark or Data <br /> <br /> <br /> m <br />n <br />0 <br />LL <br />N <br />a <br /> <br />u <br />.~ <br />N <br />U <br />Y <br />C <br />5 <br />`m <br />C <br />0 <br />r <br />Y <br />A <br />H <br />