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m SENDER: t also wish to receive the <br />~ Complete items 1 ardor 2 for eddiuarul earNCea. <br />a .complete hems a. aa, and at. following services (for an <br />m • PnM your name and aatlress an the reverse of this tam so mat we can return this extra fe9 <br />card fo you. i •i <br />d •Aerm I this form to the hoot of the mailpiera, or on the back if spare tlaes nol 1, ^ Addressee's Address <br />m • Wnte'Refum ReCeipr Requested' on the mailpiece below the aniGe number Q. ^ R6StdCted Delivery y <br />mot„ •The Relum Receipt will show to whom the attitle wad aeirvefetl and the dale <br />~ delivered. Consult pO5tma5tef tOr fe9. n <br />o 'd <br />~ 3. Article Addressed to: 4a. Article Number <br />o. ~~~ ` <br />E ~~ 4b. Service Type o <br />o u <br />y ^ Registered Certifietl ~ <br />Express Mail ^ nsured c <br />C~9 9 9 ~ ~ <br />lT. 0 <br />c ^ Return Receipt for Merchandise ^ COD <br />G ~'~""O~ p Q~~(/ 7. Date of Delivery <br />a U <br />3-S• r <br />F 5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~ <br />to and lee is paid) c <br />x r <br />a. 6. Signatu~essee or en ~1C1/" <br />n <br />Rs Form 3811, December tssa Domestic Return Receipt <br />