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<br />r. <br />SENDER: _ <br />el Complete items 1 andlor Z for edditionel services. <br />C • Complete items 3, end be & b. <br />~ • Print your name antl address on the reverse of [his form so that we can <br />~ relurrf this card to you. <br />~ • Attach this brm to the front of the marlpiete, or on the back it sDSCe <br />•` tloes no[ permit. <br />F. • Write"Return Receipt Requested"on the meilpiece below [ha article numbe <br />• The Return Receipt will show to whom the article was tlelwered and the da[ <br />C delivered. <br />a 3. Article Addressed to: 4a. Ai <br />0 <br />$ (~~k#. e~ L$a.2a. SeJ~li, ab. st <br /> <br />I also wish to receive the <br />following services (tor an extra Y <br />feel: E <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery a <br />Consult postmaster for fee. e <br />~le Number <br />c <br />~ ~o ! a s ~ cnQ S~~ 2~ ^ Registered <br />y ^ Certified <br />m ~,.~~~~ C~ g ~ ~p©~ ^ Express Mail <br />^ Insured <br />^ COD .~ <br />~ Return Receipt for ~ <br />O t ~ 7. Date of Delivery <br />a° ~ (~-- ~/ .S <br />.Signature IAddresseel 8. Addressee's Addre <br />~ and fee is paid) <br />H <br />~ 6. Signature IAgentl <br />7 <br />KFam 11, December 7991 4us.gPO:tuw-asx-~u DOMESTIC R' <br />RECEIPT <br />r.. <br />Y SENDER: <br />• Complete items 1 end/or 2 for edditionel services I also Wish to receive thB <br />e Complete items 3, and 4a 6 b. `/ <br />~ Print your name and address on the reverse of this form so that we can following services (for an extra <br />Q <br />~ return this card to you. feel: ' <br />t <br />i • Anech this form to the Irons of the meilpiece, or pn the beck i f space 1 . ^ Addressee s Address ~ <br />~ does not permit. <br />" <br />O N <br />. • Write <br />Return Receipt Requesretl"on the meilpiece belowiha article number. <br />.L <br />• The Return Receipt will show to whom the anicle was delivered and the date <br />2. ^ Restricted Delivery <br />•e <br />c delivered. Consult ostmaster for fee. e <br />e 3. Article Addressed to: 4a. Article Number <br /> <br /> <br />E ~- ~ ~cl-(,t1NT~ Q-~1-~aRha.M~, <br />( 46. Service Type o <br />J <br />~ ~ I ~ S, al <br />3 ~la.~a-~ ~O ^ Registered ^ Insured <br />a <br />a-0. <br />y ^ Certified ^ COD ~ <br />~ ~-'~ ~^ ~/ <br />W ~ ~ `f'~ ~ ^ Express Mail ^ Return Receipt for <br />M <br />h <br />i . <br />j <br />G erc <br />and <br />se <br /> <br />p <br />7. Date of Delive <br />r <br />y w <br />Q q <br />l <br />~~ /~-• L S i O <br /> 5. Si ature (Addressee) 8. Addressee's Addres Only if requested Y <br />F ~ ~ C and fee is paid) m <br />~ 6. Signatur Agent) H <br />PS Form 11 <br />D <br />, <br />ecember 1991 ru.s. oPO: tce~asa ata DOMESTIC RETURN RECEIPT <br />se e <br />7 <br />requested Y <br />c <br />A <br />L <br />f <br />