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.: - . , -' .:..., . , ,- -, _..:_~::. _•::: iii iiiiiii <br />• m SENDER: " ' "' <br />L Complete hems 1 and/or 21or eddidlinal saMCee., ; L.elso wish to receive the <br />~• ~ • CDmplete hemi.3, and 4e 7: b:.., ~ .! ~ ' • . 1 ,,, ~ ~' <br />o <br />~ fpIlOW10Q, servICBS (f Or Bn 0x[rB V <br />• Pilm your name end aEdrese on the reverYa of thli loin eo tliet <br />we r:sn <br />' <br />m <br />' fee: <br />~~~~ <br />~ ~ ~~ <br />:. <br />return WS Cab to you. <br />.:-~ <br />> Anech this lornn to the /rom o1 the mailplace, or oh dw beck N eDeca ' <br />.1. ^ bAdressee's Address C <br />W <br />do•e not permk. <br />o • Wrhs"Karam Receipt RetNened"on the melpieoe bebw the ertiol•number <br />2. ^ f{estdctad Delivery $ <br />• The Retum Rec•Ipt will show to whom the article was dallvend and tM data <br /> <br />e eellverod. ~ ~ <br /> <br />-Consult ostmester ftir fee. <br />tp <br />m <br />90 3. Article Addressed to: - <br />e, 4e. Article. Number" ~ ~ <br />E <br />~/~ <br />MR. SIM ~ <br />E - <br />~^ <br />•'L~ <br />SRS 'FIy17~~pN~wiTT/ 4b. Service Type <br />^ Fiepistered ^ Insured <br />` <br />~ <br />4 ^ / • -?t <br />H ~~ ~ WA ` <br />~ Certified ^ COD ~ <br />b Retum Recei <br />t for e <br />°~ <br /> _ <br />~ p <br />^ Express Mail <br />C :i- , <br />$7 <br />~ <br />~ <br />~ <br />r ~ ~ Merchertdise <br /> 3e^ <br />~ <br />' "w <br />~ <br />~~ 7. Date' De ve ~ <br />~ <br />a ifh~~ kaK Cs+ $ ~ 6 <br />. 0 <br /> <br />s t resseel <br />7. 8. Ad res e's Address (Only if.reQUested ~r <br /> = en fe is paid) - ~ ~ ~ <br />Ix 6. Sipnemre IAge t) <br />~ ..i ~ ¢ <br />e iiiiii I~iiii~i~ 'i ~i ~t~ili I: ~ li <br />ii ~ ii i (~li i i <br />PS Form 3811, December 7991 a us.d.v,o.: tepz-spy-s3o DOMESTIC RETURN RECEIPT <br />P• 296 y5~7C_ 414 36 <br />R for C . g~.19 <br />Cer I Ied'itlFaih-~'- <br />c'> - <br />O No Insurance Coverage Provided <br />CV . Do not use for International Mail <br />ODD ~~.vM, (See Reverse) <br />Q ~I~u IM <br />.~ <br /> 9. ~i ago <br />~ f \.. <br />j iale arp ZiP Coee <br />P <br />C <br />q) ~ <br /> PUSldge A <br />9 <br />~ Ce~l~nen F+e <br />r <br />N <br /> Swc~a' Deiweiv Fie <br />C <br />C <br />CC FcsmueJ D?Irvwy Fec <br />C <br /> Relvn Recemi $now.ng <br /> io WnUin G Daiq D?irveiea <br /> FClCi ii /ieC^~OI SnU,vin OT, <br /> Daie. ago aptness? <br /> <br /> r0 rat P~slan~ ^(_l <br /> s r?es ~jU <br /> Pa;imai~ of Oa . <br /> fn <br />Tf ; a~ <br />~ 2 <br />'~ ~ ' C <br /> <br />