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.SENDER: Complete Items t and 2 when additional services are deslratl, end complete items 3 <br />entl 4. <br />Put your eddrs In the "RETURN TO" Space an the reverse side. Failure to tlo this will prevent this <br />cad from belnp returned to you.'The u e fe v tle u he n me f h n <br />f a ve For additional fern the following services ere available. Consult <br />p master for fees entl check box(m) for etldltlonel service(s) requested. <br />1. ^ SAOw to whom tlellvered, tlata, end etltlressee's eddrea. 2. ^ Restrleted Delivery <br />1t <br />(E <br />zn <br />a <br />c <br />horReJt t/Extra ehargeJt <br />3,. Article A dreaaed t 4. Article Number <br />cJt"~(/ <br />~~ <br />~ <br />~ <br />/ <br />/ /~ 7 <br /> Type of Service: <br />PD` ~~ ~ ^ Registered ^ Insured <br /> Certified ^ COD <br />~~~~ <br />~~/,, <br />~^~~ Express Mail <br />~/ / 7 <br />/ <br />/ ~/ ~~/ AlwaYc obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Signature -Addressee f , 8. Addressee's Address (ONLY if <br />x fig requested and fee paid) <br />6. Signature Agent ~ <br />X <br />7. Date o Deli <br />1ZYt2 <br />PS Form 3$11, Mar. 1987 . u.s.c.RO. t9e7-17e-see DOMESTIC RETVRN RECEIPT <br />P 987 285 LL7 <br />Ol <br />O) <br />C <br />J <br />O <br />E <br />{L <br />a <br />Receipt for <br />Certified Mail <br />~~ No Insurance Coverage Provided <br />r~~ Do not use for International Mail <br />(See Reverse) <br />sent to <br />SveU <br />tl~.o. <br />' <br />I <br />P 0., State entl ZIP aee <br />Y lt~ 8/x!2 <br />P aea <br />Cenifie0 Fee <br />.G~ <br />Spacial Delivery Fea <br />flesujcled OeLVery Fee <br />eeturn aeceipt snowing n U <br />to Whom b Ode Deliveree X/ <br />Rei~~tR¢e spil~vq to Whom, <br />e?3nd Aatlressea:cgatlress <br />1,OTAL Pp5U0~1 _ <br />8 Fees 71 I ~ r .r <br />G <br />Postmarllor. Date <br />I) <br /> <br />