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<br />Y <br />9 <br />H <br />A <br />a <br />m <br />m <br />Y <br />0 <br />Y <br />d <br />E <br />u <br />items 1 andla 2 for additional services. <br />items 3, 4a, end 4b. <br />name end atldresa On me reverse of INa lam so that we can return this <br />i lortn to the from of the mailpiece, or on the back it space does nCt <br />rm Receipt Requested' on the mailpiece below the article number. <br />n Raceipl will show to whom the aDiU6 was Delivered antl the tlale <br />~~1,1/~ N%P~~~- <br />GSS~ S• ~~,•c.~e P/~~,r~ZS <br />~u5rprt,ba~l co gor~r'bNir <br />~~ipt for Merchar.Jise ^ COD <br />ve <br />~~~ ~, <br />Addfessee's Address (Only if requested ~ <br />and /ee is paid) e <br />t- <br />g 6. Signatu d ssee orAger <br />X <br />PS Fonn 3811, December 1994 <br />a <br />O <br />s~+a <br />i_ <br />0 <br />rn <br />o_ <br />Spec. Rig ~ <br />Z 191 ~~~ 122 ~ <br />m-9p-Z~ <br />US Poslal Service i <br />Receipt for Certified Mail i <br />No Insurance Coverage Provided. (.J <br />Do not use for International Mail See reverse (n <br />$enl to <br />~ yr r•P 5P'~- <br />Slreel b Nu <br />C~'Sr S~eaQr2 Pkw, ~ Z <br />Posy Olfia, Slate, 8 LP Code <br />r rQ ~ o oNr -~etJr <br />Postage s <br />Certlfied Fes . ~: '.~ <br />• <br />- <br />, + <br />Retu 'pl Showing M <br />Whom D Deeverad ~ ~ i <br />Resort mWhom, <br />Date, 8 q <br />TOTAL POSta f~~-; <br />Posbnark or Date <br />I also wish to receive the <br />following services (for en <br />extra fBB): <br /> <br />1. ^ Addressee's Address ~ <br />•z <br />2. ^ Restricted Delivery ~' <br />Consult postrnaster for (ee. °• <br />tuber , u <br />rpe ~ <br />u <br />^ Registered Certified <br />c <br />^ Express Mail ^ Insured - <br />3 <br />N_ <br />v <br />m <br />n <br />O <br />N <br />O <br />(.: <br /> <br />