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• SENDER: <br /> • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> Y • Complete items 3,and 42 6 b. following services (for an extra N <br /> In^ Print your name and address on the reverse of this form so that we can V <br /> d return th(s card to you. fee)' ` <br /> m • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address y <br /> does not permit. <br /> m Write"Ratmn Rece� tRe uestetl"on the mail ace below Ne;nticle number.$ 2. Restricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date m <br /> c delivered. Consult postmaster for tee. <br /> v 3. Article Addressed to: 4a. Article Number <br /> S <br /> GU[y raycc <br /> ? 0ryr gctrdOUalle GC4cor &. a <br /> sured <br /> U OtOD <br /> �geturn Rec ipt for <br /> erchandisO <br /> Zy 5. Signature (Addressee) &<4dMMMee's dres (only requested ,r <br /> fee i m <br /> f _ F <br /> 6. Slgna ur IAgent) <br /> PS Form 3811, De&ffiber 1991 *U.S.GPO:1Qs;2—W3,-4Q DOMESTIC RETURN RECEIPT <br />