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r,. <br />v SENDER: <br />y Complete items 1 and/or 2 for atldrtional services. <br />y Complete items 3, 8ntl 4a & b. <br />~ • prim your name and etldress on the reverse or this form so [hat we can <br />m return this card ro you. <br />. y Attach this form to the Iront Or the me~lprec¢, or on the back d space <br />~ does nor permit. <br />t • Write "Return Receipt Requeste8' on the mailpiece below the article numb¢i <br />• The Return Rec¢ipt wdl show to whom the article was delivered entl the date <br />~ deliv¢red. <br />c 3. Article Addressed to: 4a. Art <br />n~Yr,C ~et<eQ, ~yjR~'ti;e~5,-~, <br />E ~/tom 4b. Sel <br />I also wish to receive the <br />following services (for an extra <br />feel: <br />1, ^ Addressee's Address <br />2, ^ Restricted Delivery <br />Consult <br />o r yG l ~i' T ' jl~`J ~/r7v <br />' ^ Registered <br />y <br />G ! 7 ~ ~ <br />~~~ qy <br />(O /~ <br />r <br />~`6i17 ^ Certified <br />^ Express Mail <br /> ~ <br />I~ U <br />`~ <br />` '( 7 <br />~ J 7. Date of Delivert <br />Q <br />~ 5. Signature IAddresseel 8. Addressee's Ad <br />~ and fee is paid) <br />r <br />6 . Signature gen <br /> Q ~ <br />0 <br />ostmaster for fee <br />r <br />^ Insured <br />^ COD <br />Return Receipt <br />O <br />U <br />.~ <br />d <br />G <br />.~ <br />V <br />2 <br />c <br />C <br />for 7 <br />0 <br />~sted x <br />q, <br />r <br />F- <br />PS Form 3 11, December t99t aU.s.GPG:iVY2-32}ao3 DOMESTIC RETURN RECEIPT <br />