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<br />n. <br />SENDER: <br />4 • Complete items 1 end/or 2 for atlditional services. <br />I also Wiah t0 reCCIVe the <br />e Complete items 3, and 4a & b. following services Ifor an extra e <br />~ • Print your name and adtlress on the reverse of this farm so tha t we can feel: •~ <br />O return this card to you. <br />m • Attach this loan to the Iron[ of the mailpiece, or on the back it <br />space <br />1 . ^ Addressee's Address <br />y <br />does not permit <br />C • Write"Return Rece~ptRepuested"onthe mailpiece below the article number. <br />t <br /> <br />2. ^ Restricted Delivery •„ <br />_a <br />• <br />„ <br />• The Return Receipt will show to whom [he artcle was tlelrveretl end [he date <br />e tleliveietl. <br />Consult postmaster for fee. i <br />e <br />~ 3. Article Addressed to: <br />~ ~ <br />`' 4a. Article Number <br />a ~ 3 -~ ~ ~3 <br />~ <br />~ ~ ~~~ ~c <br />3 0 ~ <br />~ ~ rp•'~~ g~~' rya ° <br />• 4b. Service Type ¢ <br />~~ O I/ ~~ ~ off. ~Y r-~ <br />l~ ^ Registered ^ Insured ~ <br />y <br />N <br />1 <br />J L[; I~ ®/S~ ~ f~Certified ^ COD <br />'`'. .G <br />~~, <br />I, <br />W ~ 1 Return Recei tfor <br />^ Express•~laill~~y P 7 <br />rt <br />~ 3(0 / ~t • M rchandise <br />G U~ <br />IJ DeliJe <br />7 <br />D <br />t <br />' <br /> <br />° <br />1 <br />~ <br />C . <br />a <br />e <br />, <br />'y ~ . <br />~ l <br />a ,>c. <br />~ <br />~ <br />~ l~O~- am, <br />1 <br />Z¢ 5. Signawre IAddresse 1.- 8. Ad re ed b res (Qnly if requested <br />f <br />s~ <br />iU •Y <br />~ <br />~ <br />Q <br />f '~ an <br />e <br />a <br />) <br />°' R <br />R 6. ignatur Age L. N ~ <br />7 <br />PS Form 3811, December 1991 4U.S. GPO: tYY1-72&~ DOMESTIC RETURN RECEIPT <br />--- -~ <br />