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$ Form 3900_ anvil , oos <br /> ~ <br />a ~ <br />~ ~ <br />~ $ <br />s ~ <br />o ~ <br />a ro <br />~ ~ a~ <br />a ~ <br /> <br />d <br />f• <br />~$$ 3 <br />P9 . <br />$ . <br />O <br />~ <br />° <br />o <br />P _ <br /> <br />m <br />° <br />~ a _? ~ (n <br />oT <br /> <br /> <br />i o- <br />n <br />u <br />_ - <br />m ~ <br />~ <br />r. <br />aA <br />-$t m <br />o- <br />H ~ <br />I <br /> <br />i ~ <br />o C <br />.i. <br />a O <br />A <br />S <br />\ <br /> T~ ~ <br /> <br /> <br /> <br />I ~ <br /> <br />A <br />r4 n <br />A <br /> . yZ~ <br />cn~nQ rn'~2nu2( 1'S lZ' Wd <br />oz~c <br />J O y <br />/_1 C (p N <br />D ^' <br />41~ m r <br />? W <br />s~0 <br />p' 0 //1~~ 0 ~ <br />~ ~ •/ <br />J m ~ "' W:i <br />~ ~ _~ <br />O ~ ~ tD <br />~G~ ~ c(1J <br />n~~~~~ <br />g eo <br />3 ' <br />~~r <br />- <br />;; SENDER: <br />v •Camplela llama t anNor 2 for additional aervicee. _ <br /> <br />18150 wish t0 receive fh0 <br />' m •0omplete items 3, 4a, end 4b. }OIIOWIng SBrVICOS (fOr an <br />~ dm • Print your name end etltlrese on the reverse of leis brtn so that we can velum trJs eXtra fee): <br /> <br />~ rand to you. <br />•Mach Ihia form to the front of the meilpiace, or on the Eack if space tloea not <br />1. ^ AddreSSBe~s Address <br /> <br />Z <br />~ <br />y pemut. <br />• Wdte'Relum Receipt Requestetl'on the mailpiece below the article number. p. ^ RBStficled DBIiVery y <br />$ •The Ratum Receipt will Mow to whom the aside wee tleliverad end the data ~ <br />~ <br />0 delivered. Consult posfinester for fee. .~ <br />I v 3. Artlcle Addressed to: 4e. Arficle Number d <br />a W 2 13 6 !a <br />i E <br />v ~~ <br />2et~.)at <br />` 4b. Service Type d <br />I ~t~-~o <br />~^~ ^ Registered $-Certified <br /> <br />I <br />!J Off <br />y5 g <br />^ Express Mall ^ Insured rn <br />5 <br />~ ¢ , ~ <br />f ~ 2 <br />~ ^ Retum Re ®M ~se ^ COD <br />a ~~9C] C 7. Date of <br /> 0 <br /> <br />~ ¢ 5. Received By: (Print Name) B. Addr 's Ad s~0 y I requested ~ <br /> end 1 <br />aid) O~ <br />y = <br /> i <br />~ 6. SignaNre: ddressee or Agent) , <br />Q <br />y Jy <br />,T ~ J <br />~ PS Form 3811, December tssa Domestic Return Receipt <br />