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P 179 166 267 <br />• Spec. ~ <br />~~ L~ec¢Ip4 <br />r/- ~~Ei~ed ~~~~ -oo. ~' <br />' Ch ~.~11. No Insurance tled <br />~C,asr.-r''s Do not use for International Mail <br />•pSrYeMr (See Reversal <br />'. O llGfr lJ~ ~ ~' <br />~..~ Sneei e•a r+o P J Ba K y{'S' 7 <br />Oe/O <br />I ~ PO.rS!,~ <br />C <br />I <br />C ~ ~J v <br />4 <br />V <br />H <br />C tNN <br />~ Postage <br />i <br />I ~ Cenmea Fre <br />T <br />~ N Soec~ai Deu.~e•r Fee <br />I G <br />G <br />Resn~ned Dew <br />•S <br />' <br />~r <br />~; <br />• <br />ow~ng <br />Remm .~ <br />i~e~etl •1~ <br />T io Who ale <br />Remm ip~ Saovd•q io W om <br />a~e4k`s e'e . <br />Dare, <br />TOTAL osla a '~ F <br />•7 <br />g Fees' <br />POSlma~k 0 a12 t ; <br /> <br /> <br />__J <br />^' SENDER: <br />tp <br /> <br />Complete items 1 andror T for eddiuonal services. I also wish to receivo the <br />ss Complete items 3, and 4e ~ b. following services (for an extra ~ <br />m • Print your name and address an the reverse of this form so tha t we can <br />feel: <br />'Z <br />`m return this card to you. <br />> • Attach this form to the front of the mailpiece, or on the back i <br />t space <br />1. ^ Addressee's Address m <br />y <br />m does no[ permit. <br />m • Write "Return Receipt Raouested" on the mailpiece below the article number. <br />2. ^ Restricted Delivery (1 <br />•m <br />w Tha Return Receipt will show [o whom the article was d¢Irvered e nd the tlate <br />c delivered. Consult postmaster for fee. m <br />9 3. Article Addressed to: 4a. Article Number <br />o , <br />m i~ r_ /~ /yam.. <br />/ <br />~ ~ _ i c <br />~ <br />. <br />a - `~ <br />~ <br />46. Service Type <br />~ <br />c ~ / ^ Registered ^ Insured <br />~ i _ <br />L~f Certified ^ COD c <br />H <br />ly++ ~ ^ Express Mail ^ Return Receipt for ~ <br />G <br />~ Merchandise G <br />~ ~~ <br />/~~-- '~ <br />_ <br />~ 7. Date of Delivery w <br />7 <br />~ <br />~ <br /> ~~ ~ <br />t%~ ' <br />> <br />z 5. S gnat a (Addressee) B. Addressee's Address (Only if requested x <br />Fes„ 7 and fee is paid) ~ <br />W L <br />2 6. Signature (Agent) F' <br />0 <br /> <br />m PS Form 3811, December 1891 ~ U.e.G.P.0..1992 a0r h30 DOMESTIC RETURN RECEIPT <br />T <br /> <br />