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°' SENDER: <br />•Complele'nems 1 andlor 2 for additional services. <br />I also Wish to receive the <br />W •Canplele items 3, da, antl 4D. fOIIOWIng a0rvIC0S (10f an <br />m • Pont your name and address on the revsrae of true Wrtn sa that we wn velum this <br />Caltl 10 y011. BxIr8190`: <br />/ <br />N <br />•Mach Nis loan tc Ibe front of the meilpiece, or on the back if space tloea nol <br />it t, ~ Addressee's Address -° <br />perm <br />. <br />y •Wdte'Retum fleceipf Requested' on the meilpiece below Ne anitle number <br />2. ^ Resldcted DBIiVery ~ <br />y <br />t. •The Ratum Receipt wiN show to wham the snide was tlelivered and the date <br />° <br />c tleliveretl. <br />o Consult postmaster for fee. ~ <br />^+ <br />d 3~. A/r~ticle AddreLSSed to: /~ <br />a ° r I 0 tl rL'1 c~ I r'~ l_-Ora ~ CO~-vt ~X~YIt/ 4a~ ~nrn~cle Numb/er- r / ~] <br />-Y ~VJ `FJ ~ 3~ <br />E <br />( <br />a <br />i <br />' ~ <br />~ <br />~ 5 4b. Service Type <br />to <br />~ <br />r <br />1 <br />/ <br />7- ^ Registered ^ CertiRed <br /> <br />/-~ it (, <br />'vS~ V c7 `Y <br />l <br />8 1 <br />s~Y <br />^ Express Mail Insured <br /> <br />~ m <br />5 <br />W <br />t_ <br />7 <br />V <br />0 ^ Retum Remipl for Me a~rysl <br />C <br /> 7. Date of Delivery <br />z ~ <br />T <br />F 5. Received By: (Pont Name) 8. Addressee's Add ass Onlx i rgque ~e <br />~ c <br /> and lee is paid) ~J 1 <br />.~ ~ <br />\ m <br />rL- <br />c 6. Signature: (A sse r ge `Z <br />•(3 , ~~ <br /> <br />> X <br />n ~ <br />PS FOrtn 3811, December 1994 Domestic Return Receipt <br /> <br />