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o SENDER: I also wish to receive the <br />v <br />e .Compere name t enNOr 2 ror eadl0oral services. <br />• CornPlete name 3, 4a, entl 4b. followin services for an <br />9 <br />m • Pion your name entl address on me reverse cl mis brm eo that we can return mie e%lra }BB): <br /> card to u. <br />• Attach thus form tome hoot or the mWlplece, or on the Deck d spec a does not <br />1. ^ AddresseB's Address <br /> ppeerms. <br />•Wine Werum Recelp( Requesretl' on me mellplece oelow me erdrle number. 2, ^ Restricted Delive <br />rY <br />m <br />~ • Ttb Return Receipt vrill show to wfrom me steels wag depveretl re d the dale <br />lt <br />i <br />l <br />f <br />C <br />I <br /> delivered. onsu <br />pOa <br />mas <br />ef <br />Or <br />ee. <br />3. AAicle Addressed to: <br />~Colm'ur~lrj ~rsf SDi~ Con~r~rY. <br />E 3~ (o IZan>^~ S't7~P C"E" 17~Sh'i(,~ <br />~cru.~~ ~t~ S ICe~ <br />5. Received By: (Print Name) <br />8. Signs re (A~dfdr~e'ss or g <br />r x a.Gt~t <br />=° PS Form 3811, December 1994 <br />(~ 79n o3 <br />^ Registered Certified <br />^ F~tpress Mail ' ^ Insured <br />^ Return Receipt for Merchandise ^ COD <br />end tee is paid) <br />toutasea-e-ovzu <br />Q~3~ P 36 90 i~LIL ' <br />.._ m ~9~a8 <br />M <br />tU5 Pos1aF Service '1F O <br />CV <br />Receipt for Certifif:d ai~ ,$ <br />No Insurance Coverage Prov,ded. <br />Do not use for Inlemational AIaII (Se oars 0 <br />N <br />W <br />a <br />n <br />Q <br />C <br />m <br />0 <br />LL <br />N <br />a <br />Sent to <br />a-`-'` S <br />Crn~ rrv <br />SmetE Number "A <br />{~'~- ~ <br />C <br />Post Omce, Slat 53 Dee <br />r ~ ~ <br />Postage ~ ~ ~..' <br />Cerafietl Fee 26 <br /> <br />_ <br />`K~ <br />E <br /> <br />Spedel Delivery Fee ` <br />Restricted Delivery Fee <br />Return Receipt Showing to <br />Whom b Date Delivered ~~ <br />RaWm Receipt Sheeng roVfiom, <br />Date. 6 Mdrssee's Ad6ess <br />TOTAL Postage 8 Fees 9, 3, 7Q <br />Posbnerk or Date <br />CI <br />_a~ <br />0 <br />_c <br />0 <br />T <br />c <br />f` <br />