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d SENDER: <br />v <br />' •Cgmplela name t anNor 2 fot etltlitiorial servips. I aISO wish to reCelY9 ale <br />W •Complste items 3, ba, and 4b. fOIIOWIng S@NICeS (fOr an <br />m •~' <br />n <br />l` ou~ ame end address on the reverse of Ihie loan sp thal we Can return lhif extra fee): _ <br /> <br />i r <br />d <br />•Mach This form to the horn of the mailpiera, or on the bads if Space tloes not <br />emxt <br />1. ^ Addressee's AddfBSS o <br />~ <br /> <br />y p <br />. <br />• Wdte'Relum geceipf Requested' on the meilpiece below the adi <br />ale number. <br />2. ^ RBStdctBd DellVery ~ <br />y <br />Cr <br />c •Tha Return Receipt witl Show io wlwm the ertitle was delivsrad end the dale <br />deiiveree. <br />Crmsuk postmaster for fee. <br />~ <br />p <br />d <br />3MArtlcle Ayddyre~ssed to: ,~y~ <br />ArfiGe Number u <br /> 1 t'I('- 1 1.111 1 11~~ <br />E <br />~ <br />(y~ {~-~ y m ~ ~ ~o~cr~ <br />{ 1 F~ 1 1 ( Q <br />~ 4b. Service Type <br />^ Registered ^ Certified <br /> <br />y <br />w <br />, <br />. <br />Y~ O ~^~ /'1 ~y <br />!'i F-i <br />F <br />' <br /> <br />^ Egress Mail ^ Insured <br />OI <br /> ~~J <br />/ <br />i O RetumAeceipt fof Merchandise ^ COD <br /> I - <br />(' <br />~ <br />CO <br />~0~3 ~ 7. Date of Delivery <br />a <br />= , <br />,ee <br />~ r <br />_ <br />v~ ~L <br />~ ~ <br />o <br /> T <br /> 5 Re ~ ed B ~ ) 8. Addressee's Address (Only it requested ~ <br /> and lee is paid) a <br /> <br />g <br />6. Signature: (Atldressee or entJ F <br />o X <br />n <br />PS Form 3811, December 7994 <br />Domestic Return Receipt <br />~,~/ P L3 351 892 <br />S ~ ervice <br />~' tpt for Certified Mail ~ <br />Insurance Coverage Provided. <br />~~~ Do not use for Imemational Matz See reverse -+ <br />m <br />rn <br />Q <br />a <br />0 <br />O <br />M <br />0 <br />y <br />a <br /> <br />~'Y"'1<~bLaod~ TY~ IK Cc~iCfp-I <br />y, Slat , 8 P Cade <br />Page S <br />Cer~ad Fee <br />Spedal Delivery Fee <br /> <br />Restdtled Delivery F ~ I <br />~ p; . ~ <br />Return Recept Sh ' <br />Whom d Date Del' d <br />Realm Retegl <br />Dale. d MNessee's ~ ~ <br />~ <br />TOTAL Postage 8 es ('7 <br />Postrnere or Date C <br />U <br />I~: <br />O <br />W <br />