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m SENDER: I also wish to recewe the <br />v <br />~t0 ~ Complete hems 1 antl/or 2 for atltlilional services. <br />• Complete items 3, 4a, antl 4b. followin services for an <br />9 <br />m • Print your name antl adtlress on the reverse of this lorm so that we can return Ines a%tra fee): <br />d <br />m card to yyou. <br />. Anach Ihis lorm to the Irons of the mailpiece. or on the bacM .I space does not 1. ^ Addressee's Address = <br />~ <br />d • Write 1'Return Receipt Requesled'on the mailpiece below the article number. 2. ^ Re51rCted Delivery N <br /> <br />$ • The Return Receipt will show to whom the artcle was tleM1Veretl and <br />tlelrvered the tlate <br />COn$Ult pOSfmaSler IOr lee. <br />p, <br />o . Anicle Addressed to: <br />o /y <br />~ n 4a. ice er <br />/ <br />n <br /> _ F <br />s <br />m <br />n <br /> <br />~ <br />4b. Service Type <br />^ Re <br />istered Certified E <br />~ <br /> `~ <br />~ <br />~v <br />~J g <br /> /~ <br />., <br />~ <br />7(~ I r A l0 n d1.L / ~(~i ~ ~ <br />LJi1-lJC/ b'I ^ Express Mail ^ Insured <br />^ Return Receipt for Merchandise ^ COD ~ <br />~ <br /> <br />° ~ <br />~,ach <br />~~~e <br />~ / ~5 7. Date of e e <br /> <br />t <br />l~ ~ o <br /> <br />o <br /> , <br />. <br />= 5. Received By: (Print Name) 8. Atldr see's Address (Only i/requested x <br /> and tee is paid) ~ <br /> r <br /> a c,.., re.ra~~wa .,, n......n F- <br />-' PS F 3811, Decemb 1994 Icasss se e.ozzs <br />N <br />m <br />m <br />C <br />W <br />l7 <br />0 <br />LL <br />a <br />~p,, J <br />P 436 ~~61 ~~ <br />US Postal Service ~~, ~i~, S ~ <br />Receipt for Certi~ie,~p~~C~~, ~ <br />No Insurance Coverage P ded. \ <br />uo nrn use for mtemafional Mdf See r&a fs ` <br />a <br />u <br /> C <br />er ~ 0' <br />P 'ca, State, ZIP Cad e o <br />5 ~' <br />Postage S ~~ E <br />Cedifietl Fee <br /> C <br />Spedal Delivery Fee ~ <br />E <br /> <br />Resldned DaGvery Fee ~ <br />Retum Receipt Shq ~ (.` <br />Whom 8 Date Deli <br />Realm Raegt ~ <br />Dale, 8 Mlresee's <br /> <br />TOTAL Postage f~i r <br />PosMark or Date <br />ASPS <br />