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<br /> <br />r <br />~~ ~ ( ~ f •~ <br />~'VI g 9 .- ab`z <br />N <br />O <br />v <br />`c <br />a <br />C <br />C <br />Q <br />C <br />E <br /> <br />Z 404 400 2!,6 <br />US Postal Service H <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Provided. I <br />n., ....r ~~~e hr Iraornminnal Mail /.Sww reversal r <br />Sent to <br />8 <br />Svr<18 (lumber <br />. Bx Ilcsb <br />Fost Ollice, Slate, d ZIP Code <br />D Z -1 O <br />Postage a <br />Cedilied Fee <br />Spedal Defvery Fea <br />Resldded Delivery Fee <br />Relum Receip15h <br />Whom 8 Dale D veied ~ <br />~ •~ <br />Rehm R~eeipl <br />Oale,B ldNe ei ass \(~ <br />TOTAL Posl CA' F r~j` ~ <br />Postmark or <br />lj <br />J <br />d <br />.o SENDER: I also wish to receive the follow• <br />m o complete items 1 enNOr z for adddional services. ing services (for an extra fee): <br />~ Complete items 3. da. and db. <br />^ PnM your name and atltlre55 on the reverse of this form so that we can velum Ih~s <br />m wrd to you. 1. ^ Addressee's Address <br />^ Attach (his form to the front of the maAplece, or on the back it space does not <br />• pemnl. z~ ^ Restricted Delivery <br />^ Wdle 'Relum Receipt Regpesletl'an the mailpiece below the edicle number. <br />~ ^The Relum Receipt wdl show to whom the aditle was delivered and the date <br />p tlelrvere0 <br />v 3. Anicle Atldressed to: 4a. Article Number <br />b r <br />n I~O '/~I,,~~-~ 2 ~-t r_ rs~l~. <br />E 4/tR1/„~,`QGVtI Tf~ 4b. Service Type <br />o <br />u , ^ Registered L92:ertilied <br />~l" ~~„' SS IDrtltq,J ^ Express Mail ^ Insuretl <br />po 3 k (((,` O ^ Return Re<e~pt for Merchandise ^ COD <br />t q 7. Date of Deli ery ~ l . I ~~ ., T <br />r /J.IJ~-rN5 $O'fZZ ~(15D J~_li~ ~~~. <br />5. Received By: (Print Name) 6. Addressee's Address (Only it requested and <br />few IS pald) <br />3 6. 19 a~zujre Ad res eor Agent) <br />i. /V ~~ <br />rn <br />PS Form 3811, December 1994 102595~99~a-0223 Domestic <br />N <br />o. <br />u <br />e <br />rn <br />N <br />o` <br />T <br />Y <br />R <br />F <br />.+ <br /> <br />