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~~9~06 ctr <br />m~ <br />9 <br />m <br />n <br />m <br />0 <br />L., <br />O <br />5i <br />E <br />u <br />0 <br />9 <br />0 <br />r <br />o- <br />0 <br />7 <br />n <br />A <br />o` <br />d <br />C <br />0 <br />d <br />0 <br />a <br />E <br />u <br />TENDER: I also wish to receive the <br />~ <br />.Complete items 1 and/or 21or adtlitional services. <br />•ComDlete items 3, 9a, and bb. ~ <br />f this form so that we ran return fOIIOWIng 98NICBe (fof alb J <br />extr8 fBB)' <br />.Prim your name and address on the reverse o <br />card to rou. <br />.Attach this rortn to the hone of the meilpiera, or on lha bade ff space does not ~ 1~ A~ssea's Address <br />~~ <br />R sit clad DBIiVery <br />2 <br />a <br />r <br />pennil. <br />• Wdle'Retum ReceiW Requested' on the mailpiece below the snide number. <br />ill show to wtwm the ertiUe was deFvereO rNtl the dale <br />. <br />Sfer for feB <br />a <br />•Tha Return Receipt w r . <br />Cot 6~t p0 3 <br />delivered. <br /> <br />3. Article Addressed to: <br />4a. Article ti <br />~ ~ , <br />` <br />6mber• <br />y ~ ~ 3 y <br />s <br />c <br /> <br />dayL K• 1Jelson <br />~$~, <br />ab.service L~ <br />e <br />i <br />d g <br />m <br />, fie <br />mort <br />^ Register m <br />n ,,~ <br />9'~ '`~" 2 ' ~-~t- ~-~C- ^ Express Meil ^ Insured q <br />Kr-pyl_ <br />~ g py7 2 ~ e um Receipt for Merdlandise ~ COD F <br />~ 7. Date of Delivery <br />~ -/G - ~ ~ <br />~' <br /> <br />Addressee's Address (Only i1 requested <br />B Y <br />a <br />5. Received By: (Pont Name) . <br />and lee rs paid) F <br /> <br />X <br />PS Fonn <br />.Complete hems 1 endor 2 for edtlilional services. <br />.Complete items 3, Ie, and qb. <br />.Porn your name end address an Ina reverse of this loon 8o that we ran return <br />cerd to rou. <br />.Mach This loan to the hoot of the mailpiece, or on the bade it space does not <br />permit. <br />• Wnle'Retum Receipt Requested' on the mallplece below Ne article number. <br />.The Return Receipt will show to whom the snide was tleliveratl antl tna date <br />tleliverad. <br />-~/~~/~ SOl ~ CONSE p S~ 4b <br />lpo Nl~ko,ey ~ <br />I also wish to receive fhe <br />following services (for at`~ <br />extra fee): <br />Y <br />ssee's Address <br />Ti~ A <br />~ <br />~ L <br />:.11'' <br />rt <br />rt <br />2Gfl Reyftlcted Delivery rR <br />Cor ef'eat CCpc~lll aster for fee. ~ <br /> <br />ma 7 ~"I i ~ <br />rPe rp <br /> <br />I rtified <br />d <br />~ <br />ail ^ Insuretl E <br /> <br />ipt ror Merdlartrfise ^ coo A <br /> <br />0 <br />ive /ry/ /~ <br />~(D _7 ~ '~ <br />o <br />T <br />s Atitlress (orrly U requested ~ <br />and lee is paid) ~ <br />3 <br />0 <br />T <br />N <br />AS Fonn 3811, December 1994 <br />