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m SENDER: <br />9 •Complete ilema 1 enNor 2 far additional services. I also wish to receive the <br />m •COmplete items 3, 4a, aM 4b. follOWing SBrVICOS (fOr an <br />„ • Prinl your name and address on Na revere of this lonn so that we wn return Ihia Bxtfa fee): <br />i <br />j rartl to you. <br />•Adach Ihia loan to the from of the maipiece, or on tha baNc if space does not t, ^ AddfBeSBB'e AddrBSS a <br />u <br />~ <br />m permit. <br />• Wnle'Rerum Receipt Requeared'on the mailpiece below the article number. 2. ^ RBStdCted DBIiVBry y <br /> •Tha Return Receipt will show to whom the aditle was delivered and the tlate <br />delivered. <br />Consult postrnaster for fee. <br />a <br />~ <br />~ Y <br />a i <br />cle Addressed to: <br />3. Art mber <br />4a. 'cle <br />N a~i <br />a ~~l`/n~1J ~n <br />( <br />l <br />Puv~ I~Ii..cxlJ c <br />Z <br />a <br /> <br />E <br />u 4b. Sern <br />Type <br />v <br /> u~, _ <br />I ^ Registered -rO~Certified ~ <br />'n <br />(, q <br />5 FS 7 C <br />~ <br />~ ^ Express Mail ~ ^ InsurW <br /> <br />t f <br />^ COD <br />^ R <br />R <br />i <br />h <br />d 5 <br />N <br /> d <br />o <br />1 . an <br />ehm <br />ece <br />p <br />or m <br />se <br />^ <br />^ 7. Date ~! eliv <br /> <br />~ 5. Received ~ (Print Name) <br />/~ a. Address 's Address (Only i! requested ~ <br /> , <br />~ <br />~ IoGOG ~~ <br />t ~ I (~ and /ee is paid) = <br /> , i <br />g o. ~Ignatu/^T'_! esseg g~ <br />o X 6Vi <br />n <br />PS Form 3811, December t994 "< <br />r• <br />N <br />rn <br />C <br />0 <br />LL <br />a <br />~- <br />i' <br />~.8+.. <br />US Postal SBHfc'4~' <br />Receipt~~ ~je =- <br />No Insuranc verag I 7~ I ~ <br />On not uca.tnr Inmmatinn•I Mon rcoo .e,.e.cei L] <br />SBM <br />Y <br />Street a Number R C 2 7 <br />Post a, 5 e, 8 P Cade <br />8oy~ 7 <br />Postage s 4 • . <br />Cercfied Fee , ~ <br />Spedel Del' ee G ~, ~ <br />9 <br />Resldged De LL F~ <br />Return Receipt S_ 'ng ro <br />i4hom 8 Date DeG <br />Realm Rzegit $M•eg to <br />Date, 6ldtressee's Atldess <br />TOTAL Postage d Fees S <br />Pasbnruk or Dete <br />i~ <br />