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<br />O <br />e <br />m <br />m <br />c <br />0 <br />9 <br />Y <br />E <br />0 <br />v <br /> <br />sGnuCn: <br />•Compela Went 1 rrrrdor 21or etlatesrW eenlwa. I also wish to receive the <br /> <br />tdlowing serviCe6 (for ttn <br />•Compete hems 3. Ie. errd /b. <br />•Pdrd your rrerrre arrtl eedrsc an ere rewna of tlt4lorm eo slut wa ten return ais exha the): <br />0 <br />•Aa~eartou~iiummr to the hom of sr m,ilpien, «on ar Deck a epee dose rlat 1. ^ Adtlre55ee's Address <br />• Wnte Retum Receipt RequMeCan the maOpMOe Delow Vre ediGe numbac 2. ^ Restdged DBIIVery N <br />•The Retum Receip wiA Now to whom the erade wee eelivared arN iM date <br />Consult <br />ostmaster for lee u <br />- <br />delivered. . <br />p <br />4b. Servi~Typ <br />Po fi, ~ ,(a~ ^^ Registered <br />~p ~r;~J / _6 c c <br />~-~""' ~" ~ ~~ o' ~ ~r 7^ -etu of D <br />J N bl <br />Only N requested ~ <br />Z <br />s. signature: p <br />X <br />r r <br />o- <br />Y <br />9 <br />•a'i <br />m <br />m <br />0 <br />9 <br />0 <br />`m <br />a <br />0 <br />W <br />O <br />D <br />3 <br />0 <br />b <br />v <br />0 <br />m <br />a <br />m <br />5 <br />0 <br />9 <br />Y <br />m <br />n <br />E <br />0 <br />u <br />s <br />0 <br />F <br />•Compete eerru 1 endor 21or etldieonal eerMroe. <br />• Complete items 3. 4a, and Ih. <br />•Pdm your name ano address on the ravens of Uea brm w Wt wa rsn return this <br />care to you. <br />•Adsch mis lone to the hoM 01 the mellpeo, or on iM hark If spew dose not <br />pamvl: <br />• Wdte'RStum Rrrceip Aequssud' err 1M madpace below pre anirJe number. <br />•7}u Return Receip will chow to whom ere snide was deliwretl antl Ne sate <br />adroered. <br />CJ ~ "( ~~ 4b. S <br />Ca ~ ~ Pc~- k5 <br />~o ,~ rp ~ s~~l~ <br />~ 3 ~ 3 5 k er,~(a.~ -tom ~. D <br />0 <br />Q~~ Q~~~ <br />m <br />^ Certified a / <br />^ Insured e <br />d dse ^ COD <br />'_ o <br />T <br />I also wish to recehre the <br />tOIIOWIng SBrvICBS (fOr Bn <br />extra tae): <br /> <br />t. ^ Addressee's Address E <br />~ <br />2. ^ Restdcted Delivery in <br />Consult p09tma51er tOr tae. G <br /> <br />mbar u <br />a, <br />o l- 9~3- 4'6a E <br />iPe o <br />^ Registered ^ Certlfied <br />O <br />^ Express Mail ^ Insured ~ <br />^ Return Receipt for Mert9lendse ^ COD <br />ate of Delivery <br />. ~ <br />., o <br />a <br />Addressee's Address (Only//raquested~ <br />end fee is paid) <br /> <br />•Compete hems 7 enNOr 2 for edtlitiorW esrvxe,. I also wish f0 reCBIVe the <br />•Canpele items 3. Ie, errd th. Idlowing SarYlCae (t0[ 8n <br />•~p <br />o enema end etldrees an tM reserve of tNs brm eo Ihat wa can slum INa BMr81ee): <br />t o <br />•Mech Ihia form to Ins horn of 1M nWlpeoe, or on the Mdc it space does nm 1. ^ Addfasse0's Address u <br />pendt. m <br />•WdteWStum Receipt Requeslee'miMnWlpiem Gkw are ertMe numhec Q,^RaSlfldad DBllVary y <br />•~ ae~ Receip will Now t0 wlxxn the ertida wet tleGwntl entl the date <br /> Consult posmaster for Tee. ° <br />z 3~~ ~3~i y3S'e <br />o ~ G~ l a-~ <br />s~l(~~ cv ~'~ao~ <br />5. Re eived /B~y: (Prin/tN/ame ~j~,~ <br />6. Signature; (Add eePr ant) <br />X /l/~-~ <br />PS Eorrn 3811, December 1994 <br />4b. Service Type - <br />0 <br />^ Registered ,Certified ~ <br />^ Express Mail ^ Insured 5 <br /> <br />^ Return Receipt for Msrdtandse ^ D e <br />7. Dateol <br />eliv ry 8 <br />~ <br />~ r <br /> <br />8. Addressee s Address (Only it requested ~ <br />arW lee is paid) i <br /> h <br />102 ~9i-6-Ort9 <br />J <br />