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<br />' °' cENDER: ~-- ~ -~~""~• • ~ "`~' ~ <br /> <br />,v r <br />Camplete ltemsland/ar2lor eddiliorlal services. ...-_~ I also wish to receive the I <br /> ' ~ <br />"at ~ <br />Complete Items 3, 4a, and 4b. '>g <br />f <br />i <br />d <br />dd <br />fo tollowing services (for an ~ <br /> <br />~ <br />~~ ~ r~: ress on the reverse o <br />Pdnl your name en <br />a <br />th <br />s <br />rm so Thal we can return Ihis <br />extra lee): <br />' card to you. <br />v e <br />c i this bnn to the Iront of the mailplece, or on the back it space does nol _ ., 7, ^ Addre550B'S AddrBSS <br />~ ~ <br />2 i <br /> <br />m m <br />aWdle'Re,um Receir r R~ ~uested'on the mail lace below the article number. <br />p ev p' 2. ^ Restricted Delivery m i <br />m <br /> t„ aThe Return Receipt will show 1o whom the adicle was delivered and the date <br /> ~, ~ delivered. ~ ~•• Consult pOelmaster for }eB. <br />' o <br />v <br />3. Article Addressed to: , <br />~/ISOZS <br />OF ~JPE~ <br />tA <br />2 <br />- <br />4a. Article Number 1. <br />~ ~BLI ~~~ ~~J~ <br /> <br />~ I <br /> a <br />E <br />u . <br />1 <br />t <br />• <br />te <br />~ ~ <br />`,~- NA~G4,ve SGi~ 4b. Service Type <br /> <br />^ R <br />i <br />t <br />d $t C <br />Nfi <br />d ' I <br />d <br />¢ I <br />' <br />w e c,4cE. u }~,~ <br />~ Z P/-1~ ~ ~ ~ eg <br />s <br />ere <br />e <br />e <br />^ Express Mail ~ ^ Insured ~ I <br />H <br /> <br />¢ <br />~1 <br />/~E )`) Co R <br />l~ <br />^ Relum Receipt for Merchandise ^ COD <br />7 <br />Date <br />t9 <br />i i <br />' a ~,_.,, <br />^ <br />_ . <br />o <br />eJ <br />> <br /> <br />y _ ~ <br /> F 5. <br />Iva ~ni e)• 8. e:~ee's Address (Only it requested T <br />c <br /> ¢ i --^ ~ <br />, dlee is pa~d)~I F I <br />' o s. Siggature: ressee~or genf) <br />~. _ v.^; ,:~% . <br /> T y _ <br />/` <br /> <br />t N <br />- <br />- <br />as Form 3811, December tssa <br />-- ------ -- --- <br />Domestic Return Receipt <br />- ---- ' <br /> <br />... I <br />1 <br /> <br /> ~' <br />a SENDER: <br />•Complete items 1 and/or 2 tar additional services. <br />I a50 wish 10 feCBiVB the <br />' x Complete items 3, 4a, entl 4b. }OIIOWIng ServlCee (loran <br /> H ~fn <br />ru erne end address on Iha reverse of this loan sa Nal we <br />ti ou ran return this extra }BB): <br /> <br />'. j <br />" m d <br />~ <br />o <br />Attach This loan to the Iront cl the mailpiece, or on the back it spats does not 7. ^ Addressee's Address ~ <br />-° <br />Z <br />' ~ <br />y permit. <br />• Wdle'Aefum Receipt Requesfed'on the mailpiece below the anicle number. p. ^ ReStdeted Delivery <br />•The Return Receipt will show to whom Ne anicle was delivered and Iha dale y <br /> ~ delivered. Consult pOStmaster }Or }e B. ~ i <br /> O <br />~a <br />v <br />3. Article Addressed to: <br />~~ a~ Ca~~ ~'~nss/~ <br />4a. Article Number <br />- ~ 3~4 ~I~c`l y'v8 <br />v <br /> E DU (~~( Cc~v ~~ 4b. Service Type <br /> u <br />y qq <br />~ V <br />~ (!~ ~ ^ Registered J~`'{l Certified <br />" ¢ <br /> i, <br />r <br />W • ^ F~epress Mail <br />^ Insured <br />q <br /> ¢ f`l. ,~~ C'U <br />L/v ^ Return Receipt for Merchandise ^ COD ' I <br /> a r [~ rte/ Z~/ <br />CJ ? 7. Date of Delivery ~ ~ <br /> = ( 0~3~5 r <br /> ~ 5. Received By: (Pdnt Name) 8. Addressee's Address (Only i1 requested ~ i <br /> w end !ee Is paid) t <br /> ¢ <br />~ <br />6. Signet ;.. a orA ant) r <br /> <br /> Ps Form 3811, December tssa Domestic Return Receipt <br />