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<br />Z 44d 150 076 <br />N <br />m <br />Or <br />Q <br />G <br />m <br />€o <br />LL <br />N <br />a <br />US Posral Service <br />Receipt for Certified Maii <br />No Insurance Coverage Provided. <br />Do not use for Intematlonel Mail )See reerarse) <br />a <br />StreM A <br />q ++, <br />S ' <br />Sm1s, 8 P <br />Posmpe S <br /> <br />a odien o <br />0 <br />R 6 n.rLYlk~ <br />~1I <br />" n <br />Retu <br />R <br />P (~ <br />YAldi1 <br />Rehm Reteq Wllm~ <br />D>Ib.6 Adbaaneh AiSea <br />TOTAL Posppe 8 Fees S <br />Poshrlark a DBOe <br />o SENDER: <br />i o . corrlt,lete eema r enNor z ror emltwrw eel~;w. <br />e • Carlplete hems 3.49. en0 4b. <br />O . Pdm year rlarre eM eddrese on the re~eree at Nb lann ao Net we r1N return this <br />~ Card byo <br />~ . erred, tMa ions m Ina tmnt of the melldece, er on the I,etlr a apace does mr <br />e pe^^^. <br />n • Wets WBNm ReCNPf Requested' en the mellplece bNwv Rte ertltle number. <br />• The Rehm Recelpl will aMw W wlnm die eNCla wee delhered end Ina dale <br />delivered. <br />0 3. Article Addressed to: 4a. Article <br />a BFI- ~ <br />m <br /> <br /> <br />I also wish to receive Ne <br />following services (for an <br />extra lee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consul) postmaster for lee. <br />15th 61 <br /> <br />~ ~ c~ .._ <br />s 4b. service Type <br />u ~ ^ Registered ^ Certified <br />I O(~ L,r7yt Q~{~., q~ ^ Express Mail ^ {nsured g <br />1 _ I V ~ ~ ~ ~ cJ IC ~-+U ^ Return Receipt for Merchandise ^ COD ~ <br />~ ~~ 1 iYy~-~ ~y1~'(, ~ ~ 7. Date of Delive <br />'~'~{/` ~/ _ o <br />1 5. Received By: (Poor Name) 8. Addr ssee's Addres (Only it requested Y <br />and lee is paid) e <br />6. Sign a Addressee or Ag <br />1~ X ' <br />= Ps Form 3811, December 7994 +ouese~e-0~ Domestic Return Receipt <br />