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J <br />r <br />:;, • 4yI • <br />_ ,` ~ •,, <br />\ ~ ::. <br />- OSS ~H 567£T ~ ., <br />_, xag enjtl 'aW ~' <br />N-~ C <br />~I ~j <br />i . :i <br />~' 92Z 69h 252 d ~ <br />wee. ', __J <br />~ a a <br /> <br /> ~~` <br /> <br />uelD ~r <br />e,~.. ... <br />-~. .. <br />~ <br />~,~ Ei~u]%L'i'lLD`.T'C~ilJ <br />i a~o9m~zrt~~iP2T,v~n~n,rnncki ~ <br />IpEl8 ODV2J 0"lOp'O`JNVLIpp <br />~~ ~~':: ~''. //~;..~ r , pSS'AMH'S fl S66Zi <br />SN3 <br />' <br />--°~~~ - . <br />_ ~r~ <br />I3 <br />NOIJ.tlNOd210~ NI`IS <br /> , <br />~-"=- <br /> <br />I <br />i <br />i ~ <br />e SENDER: Complete Itema 1 and 2 when edd{tiorrel taMees are desired, end complete Items 3 aad 4. <br />Put your address in the "RETURN TO" space on the reverse side. Failure to do this will prevent thb <br />tend from being returned to you. The return recei t fee will ro Ida ou the name of the erion <br />delivered to end the date of dallve or eddit one ees t e of owing services era eve a e. nwlt <br />postmaster or ees en c eck x say for additional servlcels) requested. <br />1. ^ Show to whom del{verad, data, end addressee's address. Z. ^ peetrleted begvery. <br />'3. Article Addressed to: 4. Article Number <br /> <br />~, `~ ~ <br />c <br />~ <br />~~ type or service: <br />~ ~ t.} <br />t S <br />` ' "`l Reglatared ~ Itrsured <br /> <br />r <br />nn~~ <br />~ i 3~D <br />~ Certified COD ' <br />(d U <br />W <br />i ExPrsaa Metl <br />1 <br />Always obtain signature of addressee or <br /> agent end DATE DELIVERED. <br />6. Signature -Addressee S. Adtlressee's Addres! (ONLYif <br />X requested artd jee pardf ~~ <br /> ~a <br />6. Signature -Agent ~-~ <br />X ~~ <br /> ~1 <br /> <br />7. Date of Del!ver/ ..b <br />. <br />' <br /> ~~ <br /> ~~ ' <br />1 ~ PS Form 3811, Feb. 1966 <br /> <br />. ~ <br />r y <br />:i <br />.~ <br />,~ <br />' i <br />DOMESTIC RETURN RECEIPT <br />