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<br />;; SENDER: <br />•Camplete items t and/or 21or atlditional wrvicee. <br />m •Complete items 3, 4a, entl 4b. <br />„ • Prim your name and address on Ne reverse of Chia form so that we can return Chia <br />card to you. <br />j •Aaach Ihi• form to the hoot of the mailpiece, or on the back it space dae• not <br />~ permit. <br />y • Wdte'Retum Receip! Requested' on the mailpiece below the anicle number. <br />L, •The Return Receipt will show to whom me anicle was delivered entl the date <br />~ tlelivaretl. <br />O <br />~ ,/3.~Article Addressed to: <br />a e f 1 0 l,l fL'~c~ I F~ <br />~. ~~ <br />fn <br />N ,^^ <br />G~ ^e YS~ <br />0 <br />Z <br />F 5. Received By: (Print 1 <br />w <br />g 6. Signature: (A sse <br />i. X <br />N <br />PS Fonn 3811, Decen <br /> <br />I also wish to receive the !' <br />following services (for an <br />extra lee): <br />m <br />1. ^ Addressee's Address -° <br />Z <br />2. ^ Restricted Delivery jn <br />Consult postrnaster for fee. ° <br />Y <br /> <br />Coal Com~nr 4 cle Number <br />~ 5~(0 ~.3! 3~- w <br /> <br />~ <br />~ y <br /> <br />, <br />i <br />p <br />5 <br />' bb. Service Type <br />¢ <br />t <br />/ ^ Registered ^ Certified rn i <br />Co g ~ y3 y ^ Express Mail Insured <br /> <br />c 5 <br />a <br />' t <br /> ^ Return Receipt for Me ~~ <br />C ~ <br /> 7. Date of Delivery <br />~ <br />; <br /> c <br />T + <br />lame) 8. Addressee's Add ass Onl ,i(r qua ~e <br />and Ise is paid) ~ <br />~ I I l ~ ( <br />f <br /> J <br />O t <br /> \ ~' <br />%r ga <br />~y ~~ <br />13,~~~ 3 <br />f <br />char tssa Domestic Return Receipt <br /> t <br />