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SENDER. I also wish to receive the <br /> •Complete items t and/or 2 for additional 9BryCea. <br /> a .complete items 3,4a,and 41h. - -. following services(for an <br /> m <br /> •Prim your name and address on the reverse of this form so that we can Mum this extra fee): <br /> card to you. ai <br /> dsAnaac this form to the from of the mailpiece,or on the back if space does not 1, El Addressee's Address yZy <br /> ente'Return Receipt Requested'on the mailpiece below the anicle number. 2. 0 Restricted Delivery y <br /> •The Return Receipt will show to whom the article was delivered mid the date O <br /> delivered. Consult postmaster for fee. .� <br /> 0 <br /> e 3.Article Addressed to: 4jq.�1e Number <br /> ��aado (� B3nk o1 t +ds `4b.Service Type d <br /> u „y' Cajon 31 J�. ❑ Registered ❑ Certified <br /> ST�Jc <br /> rn ❑ Express Mail ❑ Insured .m <br /> cc j1�„1�t CD �a'Z ❑ Return Receipt for Merchandise [ICOD <br /> cl <br /> a ..JLyC.II' 7.Date of Delivery / <br /> _ {O o <br /> ccT <br /> F 5.Received By: (Print Name) S.Addressee's Address n/y f requested <br /> and fee is paid) t <br /> F <br /> g 6.Signatur (Addressee or Agent <br /> i X <br /> W <br /> PS Form 3811, December 1994 Domestic Return Receipt <br /> a <br /> �� Q �26 431 364 <br /> ice <br /> or Certified Mail <br /> No ce Coverage Provided. ) <br /> y of use for International Mail See reverse W <br /> Strge�8 Na r `J <br /> 94p <br /> t office,Slate,&ZIP Code CD <br /> 0 0302 - <br /> Postage $ <br /> Certified Fee S1 <br /> Special Delivery Fee N <br /> �J <br /> Restricted Delivery Fee _C)1 <br /> on N <br /> Return Receipt Shoydng to Who � <br /> Whom d Data Delivaied CD <br /> .a Return Rac*Sh Vtowlvn, C <br /> < Dale,A Addressee's Addres CCD <br /> 0 TOTAL Postage A Fees <br /> 0 Postmark or Date 0 <br /> ri O <br /> a O <br /> W <br />