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<br />" SENDER: <br />w <br /> <br />V • Lampleta items tend/or Z for atltlitianal eervitee. I also wish to receive the <br />'A • Complete itame 3. entl 4e & b. follOWing SerVICBa (for en a%tra <br />• Print your name end eddreee on tM reverx al this loan eo that we can fBB): <br />m return this card to you. <br />~ • Attach this form to the Iront of the meilpiace, or on the <br />beck if cp•ce <br />1. ^ AddressBB'9 Address <br />dose rrot pormit. <br />L • Writs"Return Receipt Raqueatetl"onthe mailpiece below the erticla number. 2 ^ RBatriCted DBIIVery <br />• The Return Receipt will chow to whom the erticla was 0elivared •ntl the date <br />~ aeiivered. <br />Consult ostmester for tee. <br />~ 3. Article Addressed to: <br />9 4e. Article Number <br /> <br />« <br />( CO <br />g ~P~ ~oc Q <br />~! ( ~f7 Cl O~ <br />; <br />E 4b. Service Type <br /> <br />~ ~~ 0-~' Y 87 <br />H ^ Registered ^ Insured <br /> ~cenired ^ coo <br />I I q/ ~Pf1 ~'~ ~ ~!~ c~ <br />~ ^ Express Meil ^ Return Receipt for <br /> VL(~t <br />r rl Merchandise <br />and fee is paid) <br />=l sir [ure IAge~jt) <br />n PS F rm 3811, Dec <br />7 r U.S.G.P.0.:1e92-3D]-530 DOMESTIC RETURN RECEIPT <br />0 <br />V <br />2 <br />M <br />is <br />.~ <br />v <br />G <br />C <br />m <br />Q <br />.~ <br />O <br />w <br />7 <br />O <br />Y <br />C <br />to <br />L <br />H <br /> <br />