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<br />v SENDER: <br />q • Complete items 1 antllor 2 for adtlitional services. I also wish [O receive the ' <br />y • Complet0 items 3, and 4a & b. (allowing aefVlCCa (for an eXtfa t0l <br />~ • '7rint your name and address on the reverse or this form so [ha[ we can feel: ' <br /> <br />0 return this card to you. <br />m Attach LM1is form to the Irons of the mailpiece, or on the beck it space <br /> <br />1 . ^ Addressee's Address ` <br /> <br />H <br />O does not permit. <br />~ • Write"Return Receipt Requested"on the mailpiece below the article number. <br /> <br />2. ^ Restricted Delivery <br />6 <br />•m <br />• The Return Receipt will show [o wham the article was delivered <br />c deiiverea. aM the date <br />Consult postmaster for fee. G <br />m <br />m 3. Article Addressed to: , 4s. Article Number ~ <br />~ <br />m Iv~S • Kc;~4.lecn W~-1-4 ~' <br />E 4b. Service Type ~ <br />o mu'._[naGln CbC.IJ CO ^ Registered ^ Insured <br />N ~-Certified ^ COD <br />c <br />y <br />w ~ ~ V ~ l3~ Sri 1 ~v'm ¢(S~ ~- C CJ <br />~ Return Recei t for <br />^ Express Mail ^ P ~ <br />K <br />' Merchandise <br />O J L~ <br />4r I y i <br /> 7..Date of Del <br />very <br />Q 5 '/ ~ <br />0 <br /> <br />~ <br />5. Signature (Addressee) T <br />8. Addressee's Address my it requested ,u <br />F and tee is paid) ~ <br /> <br />Q 6. Since A <br />g <br />e E' <br />y <br />~ <br />0 <br />~ PS Form 3811, December 2991 CU.5. GP0:1Po3-353-]t~ pOMESTIC RETURN RECEIPT <br />q <br />P~ 296 607 970 <br />C <br />L <br />C <br />L <br />Q <br />P <br />Ga <br />~r~~rr <br />C71 <br />a <br />~° <br />Receipt for <br />Certified M~jl <br />c+~ No Insuran~ovl.r~ge Providetl <br />~~. ',if,°:r+sr Do not use I ~nerriauonal Mal <br />.1L ~ <br />vem e 11 <br />C t <br />eel sm rvo <br />~• <br />0 Slale an0 ZIP Cade <br />Pus•3ge A <br />9 <br />~e,,,,edFee RF <br />Speoal pe~~•eiy Fre <br />lwerv Fec <br />nesinaed <br />D <br />c <br />,L <br />~ <br />p <br />' o~rWp~own~g <br />~~ <br />y ~~ wnam. <br />Re~mn P,eee,m sn 9Y <br />Daie. ann Addressee's Ntliee~ <br />i OTAL Pcs~age _ y <br />^ <br />8 fees - VJ <br />. <br />posrnad. of Daie IV • <br />~ <br />~. <br />, ~ <br />z S~ <br /> <br />~~~~~~ <br />1 <br /> <br /> <br />