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• SENDER: Complete items 1 and 2 when adtlitional services are desired, end complet G ~^a <br />Put your address in the "RETURN TO" tpaae on the reverse side. Failure to do this wil e~ tbis~ <br />card from fxing returned to You. The return receipt fee will p+ovide ou the nameof t e rsArH <br />delivered to and the date of delive .For additional f~ ees tha fo)lowlnysarvftef 8(e avail b7 . ~It <br />po aaer or ees an C eek ox es) for rlddltiond serv(cels) requamd. ~ 80a 4~ <br />1,~Show to whom delivered, date, and a ressee's address. 2. ^ Restricted Deli <br />3. Article Addressed to: 4. Article Num er <br /> <br />C <br />~ <br />~ <br />R <br />~ I(o ~~~ o <br />t <br />,at <br />_~-n'"n'',lO7' <br />- <br />5 Q (~ ~~ ~p~ ~ • <br />/) _1 ~ O (is'~ <br />7 <br />t' Type of Service: <br />^ Registerod ^ Insured <br />ertified ^ COD <br />Express Mail <br />/ l~ <br />J Always obtain s~lnature of addressee or <br /> agent and DATE DELIVERED. <br />5. Sig re - A ressee ~ <br />X 8. Addressee's A~3dress (ONLY ij <br />requested and jee paid/ <br />6. Signature -Agent <br />X <br />. D e of Delive <br /> <br />PS form 3811, Feb. 198 <br />4 <br />O <br />ra <br />C <br />el <br />J <br />r <br />OI <br />IL <br />c <br />°af <br />E <br />e <br />u <br />u <br />n <br />DOMESTIC RETURN RECEIPT <br />P 168 480 068 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NnT FDR INTERNATIONAL MAIL <br />_ (See Reverse) ~ . 3 (~ <br /> S <br />Senl <br />~. S <br />S71peYanO No. + <br /> <br />S C. <br />.7 <br />-• <br />P. State and IP Code c <br />(]us W <br />r d <br />P6stage t <br /> <br /> <br />Cenllietl Fee d <br />~ <br /> <br />Special e ~ <br /> <br />Restricted Delive F 1 <br />1 el <br />V w <br />Return Receipt Showing <br />to whom and Dat ND <br />Return r <br />p o ~1rtpRAl ~V~~~~ <br />~ <br />Date,a IN 1Yr~ ~ <br />tapg a`nd Fees `~~'. <br />TOTAL P S C <br />~ <br />Poslmar o ~ ~ a ~ '~ <br /> <br />> <br />. ,~ = . _. <br />_ <br />~ >`~~ <br />. <br />i " G <br /> <br />\ <br />.:.~ , <br />~ <br />s <br />s <br />f <br />7 <br />