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<br />o SENDER: <br />o • Complete item9 1 anNor 2 for additional aervicw. I also wish t0 receive the <br />e •Domplete iterro 3.49, end 4b. fOMowing eefVICBS (fpr 8,1 <br /> • Prim your name and eddreas on me reverse of Ills form eo Nat we can rnum Ihia e%tf8 fee): <br /> card to you. <br /> •Aaxh Ihia loan to the hom of the mailpiece, or on the bed if specs does nol ~, ^ Addfeeeee~e A rase <br />` pemit. <br /> •Wdle'Rerum Receipt Requested'on the rrailpiece below me anicle number. 2.^Restdcted Deli ry <br /> •Ttre Retum Rxeipl vnll show to whom me arlide was delivered erM the date <br />~ delivered. Consult postmaster for e. <br />0 <br />a`•F J ~~(,(N~ c ~v~ <br />~ ~4 G ~~ C~ tzr~ yz~ ~ ref I~l:~-~ <br />~~,1d~2 Cc ~~~~oa <br />6. Received By: (Print Name) <br />6. Signatfdf~: fAddressee orAgentJ „ ! <br />PS Form 3811, Decd ember lase <br />~~ <br />M~ <br />O <br />O <br />m <br />U <br />a`s <br />C <br />O] <br />r <br />N <br />t= <br />~C <br />(d <br />E ~, <br />d ~ <br />t <br />~ c <br />Ch <° <br />T <br />g <br />~~ <br />~a <br /> <br />^ Registered ~ <br />^ Express Mail ^ <br />Q3Retum Receipt for Merchandise ^ <br />62 <br />and !ee is paid) <br />P 076 5$5p6~466 h <br />US Postal Service -r - _~ <br />Receipt for C}~Nd ilgg-)i <br />No Insurance Coverage roved <br />Do not use far International Mail /See reversal <br />t9 P,IZ h h ~'SQ <br /> <br />Past OfAce, Site, 6 ZIP Code/' ~ <br />A.l {Z (...~) r-~-~-~ ,~s~. <br />ZSU ~Jd1 <br /> S <br />GrGeed Fee <br />Spedel Delirary Fee <br /> <br />Rssaitled DelivervF ~: .. <br />S! <br />Rearm Receipt ~faw4t(to <br />Wfam d Dale mYvered <br />Regan Hempt <br />Dale, B Adbeaees Addy . <br />TOTAL POStaDeB Fees ,y' r <br />Postrnerk or Dale <br />USMS <br />re <br />a <br />N <br />n <br />0 <br />v <br />a <br />.E <br />T <br />Y <br />c <br />m <br />