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<br /> SENDER: <br />v .Complete itame t anNOr 21or additional aenrices. I a150 wish tO reCBlve the <br />q •Campleta items 3, 4a, and db. (OIIOWIng aerviCBS ((Of an I <br />m .Print your name and eddresa on the reverse of Ihie loan ao Ihet we can slum this extra tae <br />~ <br /> <br />o Uttl to you. <br />•An~; Ihie lortn to IM1e hoot of the malpiens. or on the beta if apace does not <br />7, (] Addressee's Address ai i <br />~ { <br /> <br />o • Wdte'Re1um Recei I R uesled' on the mail eu below the adicle number. <br />P e9 d <br />2. ~ Restdcted Delivery at ~ <br />w <br />$ .The Rrnum Receipt will show to whom Ne anitle waa Ooliveretl and the dale <br />a <br /> tlelrverad. Consult postinaster for (ee. , <br />e <br />a 3. Article Addressed to: 4a. Article Number v <br />d V c.~ez ~. a~ to 3a4 ~ t ~ S <br />E 4b. Service Type ' ;, <br />m <br />o <br />u P ~ , ~1c7X °t'3 8 ^ Registered ~ Cerlifled ~ ;~ <br /> ~ 9 <br /> L pnD S C o T50 ~ 1.O <br />~{ 1 ^ Express Mail ^ Insured <br />^ Retum Receipt for Merchandise ^ COD 5 i <br />~ <br />7. Date of Deliwpry <br />z ~3' ' s~ C ~'I ~, ; <br />5. Received By: (Print Name) 8. Addressee's Address (Only i/requested ~ <br />and !ee is paid) ~• ' <br />F . <br />g 6. Signature: (Addressee or Agent) <br />T <br />y )~%~~• Ll v_ . <br />PS Form 3811~December 1894 ~ _~ Domestic Return Receipt <br />