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• BENDER: Complete Items 1 end 2 when eddltloml arvlow err dwlrW, end conrPlrtr Items 3 and 4. <br />Put your addrw In tM "RETURN TO" spec on tM rrsrrw alb. Fdluro ro do thb will prrswrt this <br />card from Damp ro[urnad ro you. The return rresbt fa rdll orov1W you tM nrmr of tM prrtOn <br />dalMred tom tM date_~1 dNMrv. oar e tl okT rl~r • o ow np wrv aro m rbT~nwlt <br />posonesiar ror »as arM] cnscx wiles) }or addltlonsl servlplsl requested. <br />1. Show to wham dslMred, data, end rddrese's eddrrr. 2. ^ Rererknd DNMry. <br />3. Artkls Addroaed ro: 4. Artkls N <br />UmMr <br />7nr-DtQa'! IrJC<.5-9r~~ Q <br />~ bU ~ <br />/bxcL 11 M au,zo r ~fJr._:l~oi.~~~ TyP. at s.rrie.: <br /> p <br />~~~( ~cLQe)Cr'lI~~JF~L~~"' ExProp Mail <br />'1 _h~ ,~1 ~ $ 0~ ~ a <br />_~ Always otr[ain signature of addressee or <br />~ <br /> spent a <br />1DATE DELIVERED. <br />5. Signewro -Addressee 8. Addreese's Addreo IONLY if <br />X ~ requested and fee paid) <br />6. Sipn e - ant <br />X / <br /> <br />7. ate of Delivery / <br />/ G ~ j ~r,~LC <br />~ <br /> J <br />PS Form 3811, Feb. 1v86 <br />m <br />O• <br />d <br />ti <br />0 <br />E <br />`o <br />4 <br />a <br />A 16B 480 4D5 <br />° S nt to ~ <br />Y Y <br />d SVeet anG <br />m S..~:~ <br />'; P.O., Stale <br />O <br />e: <br />O <br />AECEIPT FOR CEA7IFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR I1; TFRNATIONAL ;:,AIL <br />/1'i - 21 / - C ~ i~ee Reverse) <br />7 <br /> <br />a ~Cenulee F <br />NO. <br />Return Rr 'ipt ShoTtM¢ [,. <br />to crhom mid Dp ie lSalivareC ~ ~~ <br />Return receipt kho'Nnp td4 aa. -_ <br />Date, and Atldress of De ry <br />TOTAL Postare e..^.d FeA.~~,~; ~ i .W f <br />Postmark or Dale ,_, <br />DOMESTIC RETURN RECEIPT <br />':~ <br />7 <br />y <br />r <br />