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m SENDER: I also wlsn to receFrethe <br />a •COmplele items 1 enNOr 2 for addieonal unius. <br />b •Complete 11e111.9 3, /b end fib. tOIIOWIng BBNIC08 (for 0n <br />e •Pnm your name and etldrue m the reverse of Ihie bnn w lhal we can return this 0%Ire fe8): <br />rob to you. <br />j •AaaCh INS loan to the hoN of the rnellpiea, or on the back it 6pace tlo0! naf t, ^ Addfessee'e Addfe59 8 <br />o` pannil. Zo <br />$p •Wrile'Rerum Rxasipf Rpuured'm the mailpisa below the aniGe number. 2. ^ RBSldcted DBIIVBy r0 <br />•The Relum Receipt will show to whom doe ankle wee delivered entl tae oats ~ <br />~ dNiveree. Consult postmastertortse. g <br />0 3. rtlde Addressed p: ~ . Ardc a Number ~~ n <br />~~,,~ ~~U~~,,_`Y!~ t I . ~~, 4b. Service Type Yv <br />S~1.. ` ^ Registered ~Ce d ~ <br />/t.-~ ^ ExpressMail ^ ns~rad 5 <br />W <br />~~~ ^ Return Receipt for Merdtandse ^ COD ° <br />7. Date of Delivery 3 <br />e <br />r > <br />5. R e'rved By: (Prfn! Name) Q. Addressee's Address (Only i/requested ~ <br />and lee Is paid) <br />~ 6. Signature: (Addressee or Agent) <br />T X <br />A <br />Ps f=orm 3811, December tees Domestic Return eceipt <br />N <br />N <br />m <br />.~ <br />C <br />M <br />SpP^ L <br />. <br />Z~192 ~12[~~y, <br />~I~" " ~ <br />Z <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do rrot use for International Mail See reverse <br />to _ <br /> W <br />a w <br />P Ce, State, a 21P e <br />~ ~ <br /> CD <br />rn <br />o_ <br /> <br />w <br />7J <br />N <br />~~ <br />Gb <br />G <br />(D <br />osanark or Date (") <br />0 0 <br />Pos~ga <br />carorrea Fee <br />5bedal Delivery Fes ' <br />Restdped DeNrery <br />Rehm Racd'pt <br />Whom a Date Dell 0.7 <br />~ <br />Realm Rseq <br />Dale, 6 Mtlressae's j/~ <br />~ J <br />TOTAL Postage d F <br />P '~ <br />7 <br />fJ <br />N <br />O <br />WHITE - PUBLIC FILE YELLOW - OPERATOR PINK - CORRESPONDENCE FILE <br />