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.SENDER: Com Dlete items 1 end 2 when addltlonal aervlces are tlealretl, and complete Items 3 <br />end 4. <br />1 <br />Put your eddrecs In the "RETURN TO" Space on the reverse sltle. Failu ra to do thla will prevent this <br />certl 7rom belnB returnatl to you. The return recelot tee w ill provide you the name of the person <br />QeJlveretl tg end the data of dal'verv. For atltlitlonel fees th e following services ere evaileble. Consult <br />' po~ety~eater for fees antl check box lea) for addltlonal sarvice(a) reRUeated. <br />1. ~8.. Show to whom tlellveretl, date, end addressee's eddreaa . 7. ^ Restrictetl Delivery <br />` t (Extra char( t t (Extra ehprgeJ t <br />f3. Article Addressed to: 4. Arti <br />cl <br />Number <br />e <br /> - <br />7 <br />/ <br />/~O J S J O~ <br />^' <br />~.1 V ~ ~t~l„„ ~ ~A~ CO <br />w^ w Type of Service: <br /> ^ Registered ^ Insured <br />~L{3 ~'~i{~ jZ pN C,~ ~Q.. a0.~ ~Csrtifled ^ COD <br /> _ <br />^ Express Mail <br />/~~ <br />' ~v1N ~ ~ {uC'~'S lON < vJ ~j IS Q 6 Always obtain s' ~re of add(essee <br />E <br /> D. <br />or agent and ELIV <br />5. Signature - Addressee 8. Addressee' gdtlress (ON i <br />X <br />6. Sign ure - <br />x !~ e ~, <br />7. Date of Delivery <br />PS Form 3811, Maz. 1987 • U.S.G.P.O. 19e7-17B-2a8 <br />N <br />m <br />C <br />8 <br />E <br />0 <br />LL <br />N <br />a <br />P 765 475 5~3 <br />RECEIPT FOR CERTIFIED MAIL <br />S3 fh NO INSOflANCE COVEMGE PROVIDED <br />C- /- ~ NOi FOfl INiEflNgiIDNPL MgIL <br />NOV /See Revers P.) <br />Y ~/,~ . <br />J2?~ Qt's ` J <br />DOMESTIC RETURN RECEIPT <br />~J <br />i A <br />W <br />(n <br />.~ <br />N <br />3 <br />3 <br />IV <br />1 <br />Q <br />(D <br />7 <br />O <br />'' <br />N <br />:A <br />Sent to 1 <br />` <br />Street antl No. <br />K ~ ( ~ ~ <br />~1~ <br />P .Slate antl ZIP Code <br />L1a p <br />O <br />Postage 5 <br />CeNtied Fee <br />Speual Debvery Fee <br />Restnctetl Delivery Fee <br />Return Receipt showing <br />Ig whom antl Date Delivered <br />Return Receipt showing to whom. <br />Dale. and Address_pt.OeMvery <br />TOTAL Postage and Fees ~' ~ 5 <br />Postmark o ~ Dale ~ ~ <br />I, , <br />