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iii iiiiiiiiuiu iii <br />999 <br />m SENDER: <br />a •Complele Hems 1 armor 2 for additional aerncee. <br />I a150 wish to feCeive NB <br />+r •Complete items 3. 4a, and dD. following Services (for an <br />. ~ •Prim your name and atldreas on the revanse of this torte so that we can velum this extra fea): <br /> Urtl to you. <br />oh thin loan to the hoot of the meilpiece, or on the beck it space does Hat <br />•gde <br />7 , ^ AddraSSBe'S AddreSS ai <br /> m <br />•Wnle'Retum Recei r Repuesred'on tha mailpiece below the edicle number. <br />?~ ~ ~ Restricted Delivery N ' <br />y , <br />' •The Return Receipt will avow to whom the article waa delivered and the date <br />OBlivered. Consult postmaster for tee °' <br />c <br />~o . m <br />v <br />-a 3. Article Adtlressetl to: <br />4vsq CO <br />'~vle~r Fue)s ~rl 4a. rticle Number <br />~ 2I3 35~ 7~ y <br />E , <br />L J <br />~ 4b. Service Type <br />~ <br />°u /~ ^ Registered -'~ ~ <br />,~^~Certified <br />' <br />c <br />r O Express Mail ~ O <br />'Insured <br />o c e ` V Q ~ Z ~ ~p <br />~e ~ ~ Return Receipt for Merchandl3e ^ EODI <br />' <br />v ~ <br />t 7. Date of Delive <br />~ r~~ ~ 1 1 <br />.z ~ ~ .r~1~. <br />~~ i ~ / o <br />> <br />~ 5. Received By: (Pont Name) 8. Addressee's Ad 6e yiJ•riSquesled <br />" ~ <br />w and lee is paid) <br />' i <br /> F <br />~ 6. Sign Nr6: (Addressee ar gent) <br />.T <br />0 X \f . <br />~~ I?s Form 3811, December ssa Domestic Return Recei pt ~~ <br />P 526 418 860 - <br />