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o SENDER: <br /> v -Complete item 1 and/or 2 for additional services. I also wish to receive the <br /> m •Complete items 3,4a,and 4b. following services(for an <br /> •Print your home and address on the reverse of this tam so that we can return this extra fee): <br /> card to you. <br /> d •ttach this tam to the from of the mailpiem,or on the back if space does net 1. ❑ Addressee's Address •� <br /> m -WPerite'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ RBSidctedDelivery con <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. w <br /> 0 <br /> .0 3.Article Addressed to: 4a.Article Number is <br /> a cc <br /> c � Ps, cD,a z i va �y3 ;IX <br /> . <br /> E 4b.Service Type m . <br /> 00 ❑ Registered O.Certified <br /> IM <br /> ❑ Express Mail ❑ Insure' E <br /> m <br /> PL) K ❑ Return Receipt for Merchandise ❑ COD <br /> o -OuAa u CO i�y, 7 7.Date of Derive <br /> J li /, T <br /> 6.Received By:(PrintNamleg 8.Addressee' Ad ass(Only if requested c <br /> w f e e c and fee is paid) <br /> g 6.Signatu a (AdOessee or a ) <br /> 0 <br /> a <br /> m <br /> Ps Form 3811, D er 1994 Domestic Retum Receipt <br /> Z 416 942 743 <br /> Re tqr- p V3 <br /> Corti.r1,e,sy!`{��}} i gb.56o <br /> No In�titlacf roved <br /> Do not use for International M <br /> (See Reverse) <br /> S into <br /> 0 <br /> L $peet shad[N. <br /> __ <br /> m <br /> Lo <br /> OP C.Stare an0 ZIR Code �/�� <br /> co Ppsta9e <br /> C Cerehed Fee <br /> O <br /> 'ULLL Special Delivery Fee <br /> LL <br /> Re5pY1ltl Deheerw Fee <br /> Rewrn Receipt Show,,, <br /> to Whom&Dale Deh.eretl <br /> Realm Receipt Showing tD Whom, ' <br /> Data,and Addressees Address <br /> TOTAL Ppslage <br /> S fees $ <br /> Postmark or Date <br /> \b1s 33Nd�\� r <br />