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III IIIIIIIIIIIII III <br />999 <br />" SENDER:. <br />° <br /> <br />$ • Complete items 1 aittllor 2 far additional services. I also wish to receive the <br />° • Complete items 3, and be 6 b. follOWing 9EfVICEa (for an extra V <br />y° • Print your name antl address on [he reverse of this lorm so that we can <br />feel: <br /> <br />m return this card to you. <br />> • Attach [his lorm to the front of the mallpieoe, ar on the back it space <br /> <br />t. ^ Addressee's Address Z <br />m <br />y <br />O tloes not permit. ' <br /> <br />tm Write"RO[urra Receipt Requested"on the marlpiece below the article number. <br />2 ^ RetitrlCted Delivery 6 <br />• The Return Receipt will show to whom the article was delivered and the date V <br />e deliveree. Consult ostmaster for iee. m <br />m 3. Article Addressed to: <br />9 <br />C~ <br />~ <br />~ M; <br />k/i 4a. Article Number <br />vrv <br />r <br />. <br />~ <br />M r. I uu CAW ~. a~~ 5~~ 3~1~ <br />3 Gyp: w~ CrrvP ~ (~. CnlP. 46. Service Type o <br />p <br />m 1- <br />0, <br />~rC ~n ^ Registered ^ Insuretl <br />~ <br />y y <br />. <br />0 _ ~ Certified ^ COD E <br />N ~-~` ~ ~ t) i ~o a J Return Recei t for <br />^ Express Mail ^ p ~ <br /> ~ Merchandise <br />~ <br />~ 7. Date of Delivery <br />a 3 <br />m <br />¢ Signature IA dresseel 8. Addressee's Addre;;s (Only if requested ,Y <br />H and fee is paid) ~ <br />W <br />~ <br />6. Signature (Agent) L <br />F' <br />0 <br />m PS Form 3811, December 1991 tr U.S.G.P.O. 1992-307-530 DOMESTIC RETURN RECEIPT <br />• 1 <br />P 296567 -Spec. ~1I~f ~3 <br />Recei t qq~~ ~_ <br />Certifle 1161~i1- g <br />N No Insurance Coverage Providedy <br />ODD ~ Do not use for International Mail <br />(See Reverse) <br /> <br />C <br />C <br />Q <br />r <br />U Sens io M e A 1 <br />(~ f. 1 \ar4.o M ~ AJ~Tav~.. <br />~' Sveei and No <br />~ ~. ri.y cm ~ ft ~o: <br />~ P 0 . Sraie antl ZIP (u e <br />P <br />r <br />U <br />D <br />~ <br />( <br />~ C <br />C 814 <br />p . <br />_ <br />. <br />: <br />n <br />al <br />x 3 <br />~ Postage <br /> <br />T <br />N <br />~cruLea Fee <br /> <br />t <br />C Sneoal Dalnery ice <br /> <br />C PeshiUetl Delivery Fee <br /> <br /> Pewni Pece~m >nn <br />4n to venom B Dale e <br />-~Cf <br /> <br />7 Pemrn Pece~ol g VM1Om. <br />Dale, dnd Ntl p551 ' Q <br />T iOtAl Pos;a A_ Z <br /> 8 Fees 41 <br /> P <br />r~ ostmark of e <br /> s <br />=o e <br />a" <br />a <br /> <br />.+ <br />