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<br />;; SENDER: <br />v .Comdata items 1 ardor 2 for additional services. <br />I also wish t0 reCeiVO fhe <br />o .Compete items 3.4a, antl 46. }OAOWIng eerviCBS (}Oren <br />m • Pent your name and edtlrese on Ne reveres of this form so Nat we can slum Ihia exlre fee <br />~ <br /> <br />~ CHrtl t0 you. <br />•AaaM this form to the hoot of the meildece, or on the batlc if space does not <br />it <br />t, ^ Addre55e6'S Addr ~ <br />sS Y <br />~ <br /> <br />" pam <br />. <br />aWdte'Relum Recaps Requeaed'on the meilpiece bebw the arliGe number. <br />2,^Restdcted DBlivO o <br />y <br />r a7}re Retum Receipt w+ll show to whom Iha erlfda was deliveratl end the tlata <br />~ <br />o delivered. Consult postrnaster for fe . <br />Y <br />0 3. Article Addressed to: 4a. Artcle Number $ <br />" <br />a <br /> <br />Rte'., z ~~- SvZ ~3/ x'95 <br />E <br />u <br />~q~ <br />~ ~ 4b. Service Type <br />^ Re <br />istered '@-CeN I~ <br />fied <br /> ~ <br />Po 2_ Z JT ~ ~ <br />C!D g <br />^ Express Mail ^ Inst <br />~ed rn <br />E <br />-w <br /> G <br />~ <br />~ a ~~s Z ^ Retum Receipt for Merchandise ^ CO ~ <br /> ~ 7. Date o D live <br />C' - <br />e <br /> 7 . ~, <br /> 5. Received By: (Print Name) 8. Addres e's Address (Only lrequest ~ <br /> and !ee is paid) t <br /> f- <br />~ 6. Sig~a.{.addressee yr Agen!) <br />T <br />" <br />N <br /> Ps Form 3811, D camber tssa Domestic Return Re eipt <br />