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r` SENDER: I also wish to receive the <br /> • -Complete items t a a,arid <br /> 2 for4b additional eervkw. <br /> e Sprint to r name 3,4a, dre 4b. following SBNiCSS(for an <br /> • •Prim your nerve and address on W reverse of the form w that we can return this extra fee): --- -- <br /> card to you. <br /> j •Attach this form to the from of the mailpiece,or on the back if apace does not 1, ❑ Addressee's Add <br /> permit. <br /> •Wrhe'Retum Receipt Requested'on the meilpiece below the article number. 2. ❑ Restricted Delive <br /> « •The Return Receipt will Show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fe <br /> 0 <br /> e 3.Article Addressed to: 4a.Article Number 1 areo,o q,euusod <br /> /i w s s>ai 9 <br /> -f— t� afie+sod l <br /> a CIAQn•�A.rk 4b.Service Type s viol <br /> ssa <br /> o +PPv 5 aassapptl Pue'elan <br /> (o-7 7 34 A-t/R ❑ Registered H CE fD N CE w PYM of 6Mou5,a aaay miey <br /> ❑ Express Mail ❑ Iry Pa�anea0 a,e0 a wPUM P, <br /> `� 6wmou5 iaaaay umiay <br /> CO S-/30/ [I Return Receipt for Merchandise ❑ Cf zj U <br /> n c <br /> 7.Date of Delivery 3 � W_ _ a>a++a-,>0 Pau mae <br /> oaf n,ae�a0 iePaag N <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only it reque i J <br /> and fee is paid) <br /> g 6.Sign lure: A dies a or Agent) $ aBe sod c <br /> o rD <br /> � O o <br /> { ap03 dig Pie a,e,4 d 3 <br /> SENDER: CDm <br /> -Complete items t ardor 2 for additional aerNcae. I also wish to receive tl urr use,eons � <br /> *Complete items 3,4a,and 4b. following services(for t 0 m•Prim your name and address on the reverse of this form so that we can return this extra 199): i,was <br /> card tc you. <br /> card <br /> this torn to the from of the mailpiece,or on the back if space does not 1, ❑ Addressee's A lasaanay aagl <br /> permit. OIIeW leuolteulatul lot esn fou oD <br /> •The Return <br /> Receiptill shoRequw <br /> 'onwho f he lei ie was del the article number. rV e <br /> •The Return Receipt will show to whom the article was ow the a one the Bale 2. ❑ Restricted Del el3�uaellnsul ON <br /> o delivered. Consult postmaster for W el CO Pa!l. a0 <br /> 0 <br /> 3.Article Addressed to: 4a.Article Number L-IdLianeki AP <br /> low <br /> a T <br /> • Z / 9y» 6fiz 2n6 �2n <br /> c 1,�7�Q�T� (�(n'�y,,a,,,Q .Dh,O. CO. 4b.Service Type _ <br /> 13) 5 �l➢Xfa D ❑ Registered g Certified u <br /> ❑ Express Mail ❑ Ingired <br /> l o#j VDA w QO.AO r/ ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery .E <br /> 0 <br /> T <br /> 5.Received By: (P Name) 8.Addressee's Address(Only if requested <br /> IIE and fee is paid) L <br /> g 6.Signature: (Ad resse rAgent) <br /> o X <br /> n <br /> PS Form 3811, December 1994 Dornestic Return Receipt <br /> t <br /> £ Z08 00 '/anueC] ',I� �. '�a�,aySEl6l-�Njd <br /> s.� <br /> f <br /> mot; <br /> [`- ' m '( <br /> r,j f�V coy% N � so <br /> �; V a a v E <br /> E661 9a1eW '008C wroj Bd ¢ - <br />