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<br />~ SENDER: <br />s •COmgele items t entllor 2 for additional aervicae. I also wisft to receive the <br />• sCumgete items 3, 40, antl 4b. fdbvring 50NiC0S (tor an <br /> spdm your name erd atltlrees on tM reveres of lhig brtn eo Nel we wn return this <br />nrd to you. extra fee): <br />R <br /> •AtleM Ihie brm to tM honl of the malgea, a on the back if specs tloss nol 1, ~ Addressee's Address <br /> <br /> <br />S <br />t <br />~W e'Retum Rer~i Reyuegfed' on the rtu7piece bebw Na erticb nurMsr. <br />~ <br />The Return Receiq wie elww to wtpm lhs article was delivered and the date <br /> <br /> <br />. ^ Resmned Delivery t~ <br />g deriveretl. Consuftposbnasterforlee. <br />g 6 Addressed t~o~ ~ <br />CL <br />~ 4a. Article'Numbel ~ ~ <br />/IT <br />Z C <br />~, <br />SSS ' <br />`-`~? <br />~~ <br />- ! <br />'IV 11 ~~~. 4b <br />Servf~e Type <br />S <br />l <br />~ <br /> <br />~ ~.f <br />episte <br />CertlAW <br />ap <br /> p <br />---) 1 ~ / <br />,(~ <br />IrCl ~l 1 `- 1 <br />1~1. ,s { <br />~mw0` ^ Instxed. <br />re <br />s <br /> ~~yniYY/ I ~~ ~ ~ O, <br />t <br />~ 1 <br />~' <br />~ ` <br />' <br />i <br />fietJ~tA~ipt'tor Merchan5se O CCD ~ <br /> <br />%~ <br />.. <br />Y <br />7. Date S Delivery _-~ <br />;,a _ ~ <br /> <br />3. <br /> _ <br /> 5. Received By: (~nn(NameJ ~ _ - A Tess (Only i requested . Y <br /> ~ <br />~ 6. Si9natur • A ssee orA <br />atr <br />a°. ~( <br />- as Form 3811, December. Domestic etum Receipt <br /> <br /> Z 4 by@C 2 ~~ <br />Receippt for ----~,[j~ - <br />Certifidd All~_ <br /> No Insurance Cover <br />r <br /> Mail <br />O <br />Inte <br />f <br /> or <br />Do not use <br />ISee Reversel ~ <br /> 0 <br /> ""° 1 U <br />m <br />L <br />.~t <br />~ 1/e <br />Si eei a e <br />m ((77~~7 <br />P) Sale and PP oae <br />~ ?SI lOl ~ <br />o C] <br />O $ <br />P°Slaye <br />O <br />r <br />E Ce~er~ea Fee ~ <br />LL <br />Snenai Dei~.nr Fes <br /> a <br /> Peuuclep Deiweh Fee C <br /> c0 <br /> Per.,n RpeeiP~ s°°w,ny E <br /> w venom a Daw Dei~~e~e° <br /> <br />eewrn eece~P W~Om' ~ <br />~ <br /> Dais, a ss ~ <br /> P° a <br />01 <br />i <br />' ~~ ~ <br /> S <br />~ <br />~/ T <br /> <br /> <br />