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_ R• -q <br />i/P <br />PS Form 3800 April 7995 <br /> ~ is g <br /> ~ <br />" ~ C <br />B+ g <br />o ' ' b g '~ <br /> s <br />p ~ r~ <br />$. g~ <br />$ 38 , <br />.~.. <br /> <br />~ .3 <br />~ aa Y <br />o <br />C <br />I <br /> ~ <br />, ~ 6~ ~ T <br /> to to <br /> 'f <br />cn~na n ~ ianuan ~ . <br />~~~y <br />~ -° z <br />b' ~oA/ m w <br />W <br />a9 <br />LI1 <br />3~ r <br />.., <br />ms' ~ m <br />-' 8 0 <br />m~ ~ ~ <br />~ ~ <br />G~JW4 <br />o SENDER: <br />v .Complete ifertvs 1 enNOr 2 ror addtional aerWcea. I also wish to receive the <br />e ~Complate items 3, 4a, arW 6b. }OIIOWIng SeNIC05 {}Or 8n <br />m .print your name and address on the reverse of this form eo mat we can ratum thin gxlra f80 <br />~ ~ <br /> <br />j <br />o Hard to you. <br />•A11ach IMa Conn to the hoot of the mailpiece, or on the back it span tloea not <br />i ~ . <br />t, ^ gddresgee's Address ai <br />•y <br />Z <br />aI perm <br />t. <br />•Write'Rerum RePaipf Requesfed'on the mailpiece below the adicla numDec . • <br />2. ^-RBSfdMed'R9livery . V <br />~ yd <br /> <br />~ a7De Retum Receipt will show to whom the aditle was tleliverad an <br />aelmerea. tl the date r. <br />COnSUIt postmaster forTee. n <br />0 <br />.Article Addressed to: Arti e jilu{rlber~~ 1 ^ O rte. <br />l <br />' <br />~ <br />lll <br />` \ <br />J <br />v <br />'\ r c <br /> l <br />J <br />O <br />. <br />E <br />~ ~ ~ M <br />~I~CJI `-~ T <br />y <br />pe <br />ab. Service <br />O Registered Certified ~ <br /> <br />~ <br />N ~ ~ <br />~ o ~~ ~ ~ ^ Express Mait nsured w <br />w , _ ,,, L,~ (r,~ ~ (?~` O Rehm Receipt for Merchandise ~p COD <br /> ~ <br />`y`) 1L1J <br />IAJI"p~V <br />e .,, <br />f . D of Delivery <br /> <br /> <br />~ 5. Received By: (Pont Name) U 9. ~ddr ~ e's Address (Only it requested ~ <br />w <br />~ ~' Paid) m <br />~ <br />g <br />o 6. Sign r : (A essee arAgenfJ •+ <br />\~/ J <br />T ~ . <br />sr ._ Ls~- <br />PS Form 3811, December ts9a ~ ~ Domestic Return Receipt <br />