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e SENDER: <br />v Compete items 1 enNOr 2 tw eddiaonal aervirse. <br />I a150 wish to receive the <br />e •CwnplNe items 3, 4a, arM db. }OIIOWIng S9fVICBS (fOr en <br />c <br />P • Prim your name end address on the reverse of this form eo that we can return tNe extra fes): <br /> <br />~ rard to you. <br />•Mech Nis term to the mom of tM mailpiece, or an the beck rf apace does not <br />1. ^ Addfessee'S AddSese <br />o <br />i permit. <br />• Write'ReNm Receipt Requested' on Na mailpiece below the snide number. <br />2. ^ Restricted Delivery <br />$ •Tha Return Receipt will show to whom Ne snide was dalivaretl and the date <br />~ delivered. Consult postrnaster for tee. <br />o <br />3. <br />A <br />r <br />ticle Addre <br />ss <br />e <br />d <br />t <br />o: <br />1 <br />4a. Artcle Num r <br />E /l <br />,',(r/) <br />/y <br />/y <br />/~ <br />/ <br />/ <br />,/ <br />~ <br />// <br /> <br />o <br />v //tt-- <br />Jl + r~` ~ (-(J <br />~~/~~ ( <br />_, <br />(' <br />XXJJ <br />!~'~''~ ~ ^ Registered Certified <br /> ~D <br />' `PD~ d <br /> ~ <br />r <br />~ <br />' Rew <br />hrWercfrendtse E] COD <br />^ <br /> / <br />1 <br />!-m~71 K <br />~ <br />5 <br />( ~y <br />7 <br />. Date of <br /> ~ 1 <br /> Name) <br />S. Received By: (Print 8. Addressee s Address (On yil <br />requested <br /> and lee is paid) . ~ ' <br />~ 6. Si <br />gnet . {Addressee or ) ~ ~ ~ ~ ~ <br />y <br />T ^ <br />el <br />4b.ServiceT e <br />~,I YP <br />~ <br />1 <br />~ JJ <br />~~ <br />,PS Form 3811, December ~ssa Domestic Return Receipt <br />8 <br />Z <br />N <br />d <br />0 <br />0 <br />a <br />c <br />A <br />O <br />Y <br />C <br />i <br />L <br />O <br />{'v! <br />IL <br />a <br />Z 4L6 942 264 <br />8paeir~ <br />Certifie ~ <br />~d~@1s~ra ov t~~ <br />Do not use for International Mai <br />ISee Reversal CO <br />5 ~~r <br />Y <br />/y/ /p)~y <br />n L_ <br />V V d <br />P ~ ZI ry~/ <br />Y <br />C <br /> O N <br />Postage <br />CeruLea Fee ~ <br /> Y <br /> N <br />Special Deiwery Fee <br /> r <br /> <br />flesv¢tea Dr~rvew Fee ~ ~ - <br /> r <br />flewrn flece~pt Showmg [(j <br />m Wnom g pate Oehve~etl ~ <br /> <br />flem~n fleceipl Showing m Wnam. ~ <br />Dare, ana AOOressee's ArlOress ~ <br />TOTAL Pos~age <br />B Fees (+j <br /> <br />Postmark or Dale T <br />~ <br /> T <br /> S <br />L <br /> <br /> <br />