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<br />m <br />m <br />`~ Posaga <br /> <br />~ <br />p CertiOetl Fea <br />p Return RaceiPt Fee <br /> (Endorsement Requiredl <br />p <br />p Resincmtl Delivery Fea <br />p EEndorsement Required) <br />~ Total Poslega 6 Fees <br /> <br />•d 1 t~yame Pka <br />ra P~ K~ ~ <br />O <br />p <br />p <br />r <br />) <br />and Cet <br />.___ _ _ _. -__ _._ ____ _---_-i <br />n SENDER: <br />$ •Compete items 1 enrVOr 21or addisorW aeMcas. I also wish to receive the <br />e •Completa aem9 3, 1a, end ID. }OIIOWIng SSNICBS (tor 8n <br />q • Prim your name erM address on Na raoarte of this brm w that we wn velum tNe a%tre f9a): <br />C card to you. <br />f •AtteM this brtn to the hom of the mallpiece, or on the Deck <br />i <br />if specs dose not <br />f . ~ Addressee's Address a <br /> <br />Z <br />t. <br />B perm <br />• • Wnte'gefum R,weipf gequ,reted'on the mallpiece below the amide number. <br />2. ~ RBStdded DBIIVery a~ <br />yj <br />~ •The Retum Recelpl rill Mow to wham the erlide we• detivared and the date ~ <br />~ delivered. Consult postrnaster for fee. <br />0 <br />v 3. ArUCIe Addressed to: <br />4a. Artlcle Number <br />m <br /> <br />a~l ~ ~~~ ~ im~o ccco oc~ss Cc8 <br />E <br />E--~ <br />s ~~C; ~eS ttt'C( <br />~ <br />5 <br />~ L~ <br />`1~ 4b. Service Type <br />^ R rl1A Crj <br />O C <br />i <br />d <br />flfl <br />t <br />d <br />;, <br />. <br />,V <br />C QQ <br />eg <br />s <br />ere <br />er <br />e o <br />i'~ .j~O }[ <br />) ~ {S l~S ^ F~cpress I sured e <br />- ^ Retum R W to~~rQlt fl OD <br /> <br />~1 U~ ~ <br />CLG y),~C~ C c~ 7. Date of D v <br />' <br /> o <br />a <br />5. Received By: Pant N 6. Addressee's ly ' quested ~ <br />/ _ S, end fee is paid) <br />6. Signature: (Addressee or gaol) <br />a°. X <br />e <br />Ps Form 3811, December 7994 <br />104595-9].a-01]9 Domestic Retum Receipt <br />