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g SENDER: f <br /> v .Compete items 1 andfor 2 for additional services. I also wish to receive the <br /> m .Compete items 3,40,and 4b. following services(for an <br /> o 0Prim your name and address on the reverse of this lone so that we can return this exba fee): l <br /> Ycard 10 you. <br /> -Attach this form to the from of the mailpiece,or on the bed,N Space does not 1, ❑ Addressee's Address 2 <br /> • .WW te'ReNm Receipt RequeSW'on the mailpisce below the article number. 2. ❑ Restricted Delivery y <br /> .The Realm Receipt will Now to wham the article was delivered and the dale <br /> C delivered. <br /> Consult postmaster for fee. rL�. <br /> 3.Article Addressed to: 4a.ArY a Number a ; <br /> fin" �� Lo�,s f/ S5G 870 3711 c <br /> 6rw,d (. QId �A 1.,�7AetSS(4'IC�' 4b.Service Type o i <br /> � �/ [3 Registered �Cerdfled <br /> (,'4ACV$ie 304 <br /> ❑ Express Mail ❑ Insured � <br /> QL BJX �07 ❑ Return Receipt for Merdtendise ❑ COD <br /> �/�� {�_c,) � Qn�S'/ 7.Date of Delivery y �' <br /> �,K4/Y <br /> 5.ROcO Gtl By:(Print Name) S.Addressee's Address Only if requested e <br /> I fee Is paid) <br /> cA <br /> g 6.SignaW : (A ssee or ) <br /> 0 y I <br /> PS Form 3811, December 1 10259 97-13-0179 Domestic Retum Receipt <br /> • <br /> e SENDER: I also wish to receive the <br /> ,a .Complete Items 1 er1Nle 2 for aftbov al setvlass. <br /> 7 aCamplele hems 3,4a.end 4b. following services(for an <br /> 4 0Prim your name and address on the reweae of this item eo tlW vw on stun this exile fee): �t <br /> ad to you, <br /> sMad,this form to the from of the mallpees,or m the bad,N appeals does not 1. ❑ Addressee's Address <br /> e mW ie'Relum Raoso RequMW on the maliplses below the adido marble. 2. ❑ Restricted Delivery is <br /> e� �Renwpt leis dew to wham the artlds wee le dslivsd arld rite dal Ctx18Utt postmaster for fee. S. <br /> $ 3.Article Addressed to: 4e.APe Number Sr <br /> N1� ��// .�s� F70 37� E` <br /> E /n •v r. l ..lk Service 4b.Sece Type � <br /> & Ml Uk! PWIl5o,l Gs-lser A&t Qis>lrtt t ❑ Registered XCerfleed c <br /> Po. Br)X zlos ❑ Express Mail [3 Insured 02 <br /> 5 <br /> p ❑ Realm Reoelpt for Metchartdse ❑ COD <br /> 7.Date of Delivery — , P <br /> 4 > <br /> 5.Received By:(Pont Name) S.Adtlroseee a tees O ly if requested <br /> and lee Is paid) • <br /> g 5.Signature:(Addressee or Agent) <br /> o X ,' � <br /> PS Forth 11,December 19114102595-97-BQ179 Domestic Retum Receipt <br />