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111 Illllllllllll III <br />999 <br />•SENDE R: Complete Items 1 and 2 when etltlitlonel servlcas ere tleclretl, and completo items 3 <br />entl 4. <br />Put your atldresc in the "RETURN TO" Space on the reverse side. Pollute to do this wlll prevent this <br />card from befog returned to you. The return receipt tee will provltle you the name of the person <br />tlelivered to entl the de2e of tlellverv. For edtlltlonel fees the followlne servlcas are available. Consult <br />postmaster for teas end check box(es) for additional service(s) requested. <br />1, q Show to whom tlallvaretl, tlete, and eddreuee's address. 2. ^ Restrlctetl DallvarY <br />t (£sfra charge/1 t/Extra cl+argeJt <br />3. Article Addressed to: <br />S~ ~ <br />c~ 4. Article Number <br />P asl ~~~ ~ <br />m~a,Y, <br />"] 1 ~l C '~ ~ ~ a~ 5 }-4s~Jy so~ <br />DOI I U t// Type of Service: <br />~~Pegistered ^ Insured <br />~r-•"enifled ^ COD <br />~ f ~ C O ~v ~ <br />`~ <br />- <br />J ~ <br />EzpRSS Mail <br />.. <br />7 qQ~r W <br />' " ~ ~ C7 <br />0 Always obtain signature of addressee <br /> or agent and DATE DELIVERED. ; <br />5. Signature -Addressee <br />X 6. Addressee's Address (ONL Y if <br />requested and fee paid) <br />6. Signet Agent <br />X ~Q- <br />7. Date of Del v y <br />PS Form 3811, Mar 19$7 # U.S.QP.O. 1WT-17F2G DOMESTIC RETURN RECEIPT <br />P 051 874 862 <br />d <br />a <br />0 <br />Hl <br />N <br />m <br />to <br />a <br />li <br />0 <br />a~ <br />IL <br />a <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(a r fSee Reverse) .~ 7_ q 4 <br />Sent to <br />1 <br />SVeet tl No. ~ <br />S ,,, <br /> <br />P. .State entl ZIP Code <br />CJ $ DSO I <br />Postage s <br />Cart <br />Special Delivery Fea <br />i <br />Restricted De ivory Fee <br />+ <br />Return Rec ~ <br />lo~~l' r~~ <br />Return receipt showi w <br />Date, and Atltlres Dal <br />TOTAL Poslag aes <br />r <br />Postmark or D ~~ ~ ~ I <br /> <br />9 dy9 <br />I ~ <br />.~ <br />1 <br />1 <br />I <br /> <br />