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SENDER: <br />$ •Compete item t enNOr 2 for atlOitbrial services. 19150 wish to reC01Ve ffle <br />w .compete items 3, b, end m. following seMCes (for en <br />4 <br />C • Prlnl yow name end eddreaa on the reverse of this form eo Ihat wa ran relum tNS extra 1Be): <br /> <br />i rartl to you. <br />•Ah~t Nis form to IM hom of the mailpeCe, or on IM bark If spem tloec nol <br />1. ^ Addre5ee9'S AddleSS E <br />~ <br /> • Wdte'Rerum Reoei R ueefed' on Ile mail ace below <br />w <br />s <br />p ins enicle number. <br />2. ^ Restricted Delivery ~ <br />y <br />~ •Th• Retum Receipt <br />ill <br />how to whom iM enl <br />tle was dasvered end the tlate <br />ii delro•md. Consult posbnester for fee. <br /> <br />a 3. Article Address to: <br />~iG~~ <br />~C1~n ~ 4a. Article Number <br />Z ~ /~z oZ.59 ~ <br />E <br />~ . <br />r-~Y~„/ ~/I <br />777... v~l <br />~~YKKK 4b. Service Type <br />^ Registered ~CerhTied m <br /> <br />m <br /> ` <br />---- <br />/'~ ~ F~tpress Mall ^ Insured m <br /> ( 0 ~ Qr~ <~0 ^ Rehm Receipt for Merchenmst; ^ COD <br /> ` ~ <br />(/J u / <br />`--'F 7. Date o alive <br />~ -t/d <br />o <br /> <br /> >+ <br /> 5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~ <br /> end lee is peidJ i <br />g 6 igna re: (Addressee or Age t ~~ <br />0 <br />>A <br />• <br /> PS 3811. December 7994 i0259S91-B-0119 Domestic Return Receipt <br />Ti (/) <br />~ Z' 192 259 m m <br />o ~ ~ <br />N US Postal Service <br />~ Receipt for Certified Mail <br />('n <br />( <br />No Insurance Coverege Provided. <br />0 Do not use for Intemadonal Mail See revers <br />U Sam to <br />.: <br /> um r ~J <br />~~ <br />I <br />. <br />i <br />C Q <br />Q Poll . State. 8 ~~ <br />r- <br />N P e $ ` Z <br />J <br />E Certified Fee ~~ <br />Q Spedal Delivery Fee <br /> <br />f0 Restricted Delivery Fee <br /> Retum Receip Sho <br />n <br />l <br /> <br />r w <br />g <br />o <br />Whom 8 Date Deliver4d,7 ` <br />3 - °,~i <br />TOTAL <br /> <br />