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m SENDER: <br /> <br />v <br />•Cdnplefeitrarre7and'or 2lor additional eervicea. 1 also wish to recei <br />o •Canpele items 3. ae, and 4b, tOMOWlrlg 59NICBS i <br />~ •Pdnl your name erW eddreaa on Me reverse of this form eo that wa con return ttie extra feB}: <br /> card to you. <br />y •AttaM Ihie form to the hoot at the mailpieca, a on ttMl back it space tloea not t. ^ Addressee <br /> permit. <br />y • Wdle'Retum Receipt Requasred'on the madpen below me article number. 2. ^ Restdeted <br />y erne Return Receipt will show to wlgm me artice was OaFvered end Me dale <br />~ delivered. ConsWt poshnaste <br />0 <br />~ri5/1G1~2 ~a'~^r ~~~1 <br />!'lnaPpa,~~ 1 Yv7::~~u's <br />`!~U L~ o (C 3~ <br />\~ ~~~J/ <br />r~D 4b. Service Type <br />^ Registered ^ <br />^ Express Mail ^ <br />^ Return Receipt for Merchanrfise ^ <br />7. Date of Delivery <br />7-/~' 9~ <br />B.~~Addressee's Address (Only if ret <br />and fee is paid) <br />g 6. Signatur : Addressee or gent) <br />e X ~~ ~ L !lt/~~ <br />the <br />ran <br />d <br />Atldress <br />Z <br />ativery y <br />br fee. ii <br />.~ <br />u <br />Y <br />'~ ~. <br />V <br />u <br />ertitied <br />suretl 5 <br />OD ~ <br />k <br />a <br />lu sled ~ <br />t <br />F <br />PS Form 3811, Decemf»r 1994 DOrtt¢StiC Retutn Re~Ct3ipt <br />I , <br />