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.SENDER: Complete Items 1 end Z when edtlltlonel servtcw ere deslretl, entl complete Items 3 <br />end 4. <br />Put your eddreu In the "RETURN TO" Space on the reverse side. Fellure to do ihls will prevent this <br />card tram belne retu rnetl to ynu. The [eturn t§~Aloi tee will orovltle you the name of the oerson <br />v • e f e v .For edtlltlonel f•m the;followln6 services ere evelleble. Consult <br />postmaster for fees end check boxles for edtlltlonel iervlce(s) requestetl. <br />1. ^ Show to whom dalfvered, data, end atltlreuee's edtlress. 2. ^ Restricted Delivery <br />' 1(Extrecharge/t t(EztrachargeJt <br />3. Article Addres d to' <br />r (' <br /> <br />Gc/rte ' i.77t 4. Article Number <br />_ <br />.J C' <br />L <br />~~ `I~ ~~'~"~ <br />rv Type of Sarvica: <br />~ Registered ^ Insured <br />^ <br /> Certified <br />COD <br />~~~~ ~ ^ Express Meil <br />!~ ~ ~/~7 Alw~ obtobt~in signature of addressee <br />E DELIVERED <br />~' <br /> . <br />t an <br />DAT <br />5. S' natur Addresse re ;r! dress /ONLY if <br />3~ <br />d <br />r regyESia r <br />/ <br />fe Pai <br />6.• ign lure -Agent , va ~ 4~ <br />~• <br />X . <br /> <br />7. Date of Delivery ~Q~Sa3i1 +~ <br />PS form 3871, Maz. 198'7 r U.S.C.P.O. teal-77FYaa DOMESTIC RETURN RECEIP <br />P 987 285 119 <br />m <br />m <br />m <br />O <br />s7 <br />E <br />LL <br />a <br />Receipt for _ <br />Certified Mail <br />~~ No Insurance Coverage Provided <br />,~~ Do not use for Internetionel Meil <br />ISee Reversal <br />$en o <br />G{J<(~( <br />$Ireel dnd N0. / <br />P.O tale and 21P C ' <br />~~ <br />Pdstega <br />Geruhad Fea <br /> ~~ <br />Spacial Delivery Fee <br />Pestncled <br />er <br />y <br />Fee <br />De <br />liw <br />( <br />pp <br />ae~~ <br />~ <br />y, <br />toelydpo~rly`aad'as 6i' eQv~i' /, O <br />RO{y~n Paceiyl 617 nB~a Wham, <br />I <br />S Atl~i),$ <br />~-, end Adel{ss~ <br />TOTAL Pasfe6E( <br />6 Feas T - <br />`sZ. <br />3lmark o <br />\ <br />~ <br />^- 1 / <br />u~. _ y' <br />