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<br />P 296 60~` ~-~(~~ <br />~~ A <br />Re~i <br />o 64~tifde <br />N No n~ ce Coverage Provided <br />p ~~ vM~ Do~~t use for International Mail <br />W lSee Reversal <br /> i nr ihniS~i-~I~lCtr>C{ <br />~, ~:a°• Lo1C I~~ <br />~ C'1 Srai~ a~ ~`~lJ l l.~l GJ <br /> Posia.Ie <br /> C.~e ~e° Pero <br /> SPeuai De wr.. <br /> Res~nueo D+ver~ <br /> Pelmn R2ce~p1 Sh°wrnq~_ <br />io W~om 6 Duerr Derrdren ~ 1-1 <br /> drlu~n Re[e~m Sn ~Mr N Wno^+. <br />Uale antl AOn.eyeeh5 A~rss <br /> IOi At Pmlagc r•r~ ~ <br />3F.es h ~~ t <br />l~l <br />^ <br /> Oslmdrk or Dal ~(." ~ r <br />fir' ` / <br />O _'' / <br />n. <br />m SENDER: <br />y • Complete items 1 and/or ~] for atltlinona services. <br />I also wish t0 receive the <br />c Complete hems 3, ana ~ h. following a ~:es Ifor an extra • <br />' <br />4 • Print vour name antl atld`~on the reverse of this loan so that we can <br />hi fact: `~ ~ <br />.~ rer~rn t <br />• cartl to you <br />~ • ~1[ech this form t° the Iront of the mailp~ece, or on the back it space <br />1. ^ Addreesee'S Address <br />~ <br />H <br />~ tloes rql permit. <br />l <br />" <br />" <br />G <br />on the mailpiece below the artic <br />e number. <br />Return Receipt Requested <br />• Write 2 ^ ReetriCted Delivery <br />• The Retun Receipt will show to whom the amcle was Qeliveretl antl the date <br />defMeretl. <br />Consult postmaster for fee. V <br />o <br />3. Ali le Addrerss'ed to~ ~ <br />Vfi fah <br />~i <br />M ~ 4y.~Ar_ticle.Nurpbei <br />iV~Y1111 <br />Vn IIXn /l1K(LJ <br />~ <br />~ . <br />lr <br />~"1oV1 <br />E n Cons 4b. Service Type <br />I~~O <br />}j-~ ~ ~ <br />/ ^ R istered ^ Insured <br />W <br />~ <br />_ _ _ <br />I <br />U Certified ^ COD ,~ <br />Sw~c-hon, (.(7 6 <br />Express Mail ^ Return Receipt for ~ <br />Merchandise <br />~e of Delivery <br />OA > <br />5. $iAnature IAddresseel <br />A3d4essee's Address (Only if requested y <br />and ee is paid) a <br />L <br />F <br />P$fForm 3811, Decembe/y991 aU.s. GPO: <br />