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a a <br />a ~ <br />> . <br />~. a <br />~; n 5 <br />S ~m <br />m~ <br />n~ 'm > m <br />`C o c <br />O L V <br />~ v~ ~ cmi' n <br />•'to=mod <br />.~ a;~ 9 „ <br />~~~o~ <br />_ a <br />1 ~ V 2 <br />.~r~ <br />•~ <br />.a <br /> <br /> <br />~ O <br />~ <br />6; <br /> <br />~ _ <br />~~, ~- <br />~. <br /> ~ r~ <br />€ u ~' <br /> <br /> ~ C 3 ~ ,~ ~\ <br />~ <br />~ <br />~y <br />'e <br />~~ <br />~- <br />~~ <br />o~ / ~ <br />I 1 <br /> <br />~ ~~ <br />I,C yy <br />I ,n l~ <br />~ <br />b <br />°~ <br />l ~~~ <br />~ <br />~ = <br />~~ <br />~~1 <br />- ,~ <br />~ I <br />~ I' <br />I c I i <br />l <br />3 ¢' J <br />a ~- ~ <br />~~ s ~~y i ' I~ ~¢ i ~i_ s ~ <br />d6l aunt '008E '11oy cd <br />q • Complete items t andlor Z for additional services. <br />O • Complete items 3, and M 6 b. <br />~ • Pnnt your name end eddr•as on the reverse of this form ao that we can <br />a SENDI~ <br />~ return thin eer0 to you. <br />• • Attach this lorm to the front of the mailpieee, or on the back if space <br />does not pannit. <br />y • Write"Renrm Reeeipt RaQUestetl"on the mailpiete below the •rdcle numbs <br />• The Retum Receipt will show to wham the article was delivered end the tlat <br />~ delivered. <br />v 3. Article Addressed to: 4a. AI <br />E Mon-l-t'cx~,e ~o, I~arid use 4b. St <br />~ ~ ~ s T wn s.er~d <br />I also wish to receive the <br />following services Ifor an extra <br />feel: '~ <br />1. ^ Addressee's Address N <br />.~ <br />2. ^ Restricted Delivery a <br />Consult postmaster for Tee. • <br />f G <br />a'79 ~f9~ <br />2 <br />^ Insured <br />^ COD e <br />Return Receipt far °1 <br />~. <br />Merchandise <br />0 <br />T <br />dres (Only if requested Y <br />c <br />to <br />L <br />h <br />y ~ Certified <br />c ~-lon'}-rc9s~. eO S)~f'OI ^E <br />~ 7. of <br />Q ~ <br /> 5. Si rrdtur IAd resseel Addre s~ <br />~ - - - _ and fear <br />~ 1` <br />~ 6. Sig at~re IAgentl <br />I 1, ~ <br />o -~ -- - <br />m PS o 3871, December 1991 ou.s.cPO:taa'~asx~ru DO <br />v <br />c <br />0 <br />0 <br />m <br />f~ <br />0 <br />0 <br />Y <br /> °5 =orm 3800, !une ' 39: <br /> <br />- r c - _ ~ .. ; <br />. I . II <br />_I <br /> <br /> <br /> <br /> <br /> <br /> ..I t I ~ _ <br />~~ ;~ <br /> A <br />I i <br /> ~ <br />1 <br />= <br />~ <br />F <br /> 1~f = <br />-.. <br />- <br />~ ' <br /> I <br />' <br />- = i <br />o m -- <br /> i <br />o m ~d ~ ~ <br /> ~ ~,. ~ <br />I ~ <br />~ <br /> m IO, <br />t <br />~ C <br /> 0 ~ <br />~ I <br />-~ I <br />' <br />e <br />'~ <br />j <br />0 <br />' <br />~ <br />' <br />^ <br />- -L - . -- ~ <br />~I.~O O ~-~D ~ <br />~ ` a <br />tl <br />~ s <br />V <br />ti~ ~= _ ~ - <br />J ~^ <br />~ ~ <br />~~ ~ 9 <br />- <br />O I v ; <br /> 3 <br />, <br />Ip ~s (1 i . <br />9 $ ,-- _ _ <br />n - - dtlitional services. <br />• i _- <br />~ • the reverse of this form so that we can <br />re <br />m • the mailpiete, or on the bark d space <br />~ doe _ <br />y • Write "Return Receipt Reauestatl" on the mailpiete below the article number <br />G • The Return Receipt will show to venom rho article was delivered and the date <br />O G delivered. <br />~ 0 3. Article Addressed to: 4a. An <br />m <br />a pt o ~ {-{ems 1-{-1~ 'z I <br />E ~p Ae 4b. Sel <br />A~12 Po~lat%or ^Regl <br />st W ~ a ~ O ~ ~ +n ^ ten <br />sl ~ ~ ~ E A . ^ Expr <br />p a y <br />~env~,- ~Q OAr' ']om ~ Date <br />_ ( °ISEf ~ <br />5. Signature (Addressee) .1 ~~ ~ ~ ddl <br />~ { 144 4~ and <br />h <br />6. Signature IAgentl ' <br />9 ,D~~:ofH ^PS: , <br />m PS Form 11, December 1991 eu.s. aPO; tarp-uz-~te D~ <br />I also wish to receive the <br />following services Ifor an extra m <br />leel; --~ .- ~ -- - <br />1. ~^'A_ddrdssee's Address- ~. <br />---' <br />2. ^. Restricted Deliver` ' ~ :. <br />•g <br />Consult postmaster for fee- ~ <br />le Number ~ <br />l~~F ~rb3 ~~,~ E <br />ce Type <br />ered ^ Insured <br />ed ^ COD c <br />.s Mail ^ Return Receipt for ~ <br />Merchandise <br />if Delivery <br /> <br />:sea's Address (Only if requested Y <br />e is paid) c <br /> m <br /> H <br />RETURN <br />