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f <br /> �.y <br /> to SENDER: <br /> 7 •Complete items t and/or 2 for additional services. I a150 WISh t0 receive the <br /> m •Complete items 3.Aa,and 4b. following services(for an <br /> m a Prim your name and address on the reverse of this form eo that we can return this extra fee): <br /> card to you. Y <br /> > is o <br /> Altach this Conn to the from of the mailpiace,or on the back it space does not 1. ❑ Addressee's Address <br /> d permit, m <br /> y •Wdte'Retum Reca/pt Requested'on the mailpiew below the article numbs[ Q. ❑ Restricted Delivery y <br /> -The Return Receipt will show to wham the anide was delivered and the date fi <br /> ii delivered. Consult postmaster for fee. d <br /> v 3.Article Addressed to: 4a.Article Number is <br /> a e 'Ke,�c,�✓ePs Z+d z 43'� q �f-1 �43 <br /> E L�1� 4b.Service Type w <br /> 0 <br /> � g p Registered ❑ Certified rn <br /> ❑ Express Ma�H, r;[. `.(] Insured .5 <br /> ❑ Return R F syfto;0, COD <br /> Q O t L k C C� 7.Date of D liv <br /> i 3 <br /> Z ' /il _" O <br /> n 5.Received By:(Print Name) 6.Addresse 's Y re . nlyN requested <br /> m and lee is paid) '' <br /> 6.Signatu e, (Addressee or ent) <br /> PS Form 3817, December 1994 Domestic Return Receipt <br /> oec <br /> Z 4 34 9 41i/e7; <br /> CUS Postal Service <br /> Receipt for Certified Mai <br /> No Insurance Coverage Provided. <br /> Do <br /> not use for International Mail See reverse <br /> c C�to <br /> `- in ryymeerR�A C 4 <br /> Olfice,Stale;s ZIP .!-� ! L a s <br /> C Postage ` rf <br /> j <br /> CenitepFF;e "'� �t� <br /> f Special Oerii�eryfee�: <br /> IN Restddell Doll <br /> Return Recept, o_ <br /> Whom d Date Dervilmd <br /> .x Relum Receipl StmN h WhYn, <br /> 7� Dale,&Addressee's Addmss <br /> TOTAL Postage 6 Fees $ 2 <br /> Postmark or Date <br />