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• • <br />Z 443 190 267 <br />N <br />a <br />.Q <br />Q <br />G <br />0 <br />!7 <br />lL <br />N <br />a <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />On nnl uea Inr InlnmaNnnal Mail LSna mvereel <br />SMd la <br />t't1tG, r~ <br />Street 8 Number <br />Post Office, State, 8 ZIP Code <br />C.fl Bt So I <br />Pos~pe S , ~ 3 <br />Certified Fee (, ~' Q <br />Spatial Delivery Fee <br />Restdged Delivery Fee <br />Pstum Rxept Sho'Nm9le <br />Whom 8 Date Delivered <br />(• z <br />MEan Peceq Slneiq b Wmn, <br />DaOe, 8 Add'essee's Iddta+ <br />TOTAL Postage 8 Fees a ~ . q8 <br />Postrnark or Date <br />(D l3~4~1 <br />~.rlii ~ ~ .r a 1..! ~ <br />,. ~.: <br />a .. .~:rd ...._. ~ ._.. <br />n~ <br />m SENDER: I also wish to receive the follow <br />a <br />H ^ complete hems t anNOr z for atltlitlonat services. ing services (tor an extra fee): <br />m complele items 3, da. and db. <br />^ Print your name antl atltlress on the reverse of this loan so that we can relum this <br />~ cammyou 1. ^ Addressee's Address <br />m ^ At1aM iMS Conn to the Iron o7 the mailpiece, or on the back ~I space tloes not <br />m permit Z~ ^ Restricted Delivery <br />$ ^ Write 'Rerum Receipt Request30'on the mailpiece below me article number <br />~ ^ The Relum Receipt volt show lp whom the arliGe was tleliveretl antl the dale <br />o deLveretl. <br />v 3. Article Addressed to: 4a. Article Number <br />r <br />Z 443 (9~ <br />° En elke- <br />E RObEr g 4b. Service Type <br />°u 7 u ( n ~ A ^ Registered Certilied <br />-1 RoD /'t~L , <br />^ Express Mail n <br />G~end T~~~tr,,., , eo BtSo) <br />7. Dgte o <br />COD <br />F 5. Received By: (Print Name) S. Addressee's Address (Only it requested and <br />,. / lee is paid) <br />9 6. Signature (Addressee or Agent) <br />0 <br />T <br />m <br />Z <br />N <br />d <br />m <br />u <br />e <br />0 <br />rn <br />c <br />`o <br />T <br />Y <br />A <br />PS Form 3811, December 1994 102595~99~e-0223 Domestic Return Receipt <br />