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^' SEINDER: <br />I also wish to receive the <br />V • Oomplete items 1 and/or 2 for additional services. <br />~ Complete items 3, antl 4e 6 b. fOIOWIng SerVICOa (for an extra m <br />y~j • Print your name and address on the reverse or this loan so that we can U <br />O rah q this card to you. teal: ~` <br />m iTtech this form to the front of the mailpiece, or on the back it space 1 . ^ Addressee's Address O <br />doe's not permit. H <br />_ • Write"Retum Receipt Requested"an the mailpiece below [he article number. 2. ^ ReatrlC[Bd DQIIVefy 6 <br />• The Return Receipt will show co whom the article was delwered antl the date V <br />e •deliveretl. Consul[ postmaster for fee. m <br />9 r3. ,A~-r~ticle Ads~re~ssed to: 4a. Article Number ~ <br />m FTVCIYIK.. txly'f'~e~-I' '~ <br />°~ 1Y1Y11 >~in ti{~nlYlQ ~~ 4b. Service Type It <br />p ~ GJ~ ~J ^ Registered ^ Insured <br />N -~Q t f?.~f~ GI ^ Certified ^ COD ~E <br />W O ^ Express Mail ^ Return Receipt for ~ <br />~ Merchandise <br />~', 7. Date of Delivery w <br />~ ~5; ignature (Addressee) ` 8. Addressee's Address (Only if requested ,r <br />r and fee is paid) m <br />W L <br />6. Signature (Agent) f' <br />7 <br />0 <br />PS Form 3811, December 1991 tr U.S.G.P.O'199230],a3U DOVESYIC t3El U:aR1 RECEI?1 <br />i <br />l <br />C <br />1 <br />L <br />I <br />I <br />1 <br />J <br />L <br />C <br />C <br />C <br />Q <br />C. <br /> <br /> _ <br />~ <br />-ec. j~,~~_ <br /> 7 <br />, <br />N 179 1`ll~#$.y18„~ ~~, <br /> /) Receipt for <br />o "-3 y Certi4ied Rflail <br />CV~7 ~'~`~ No Insurance Coverage Provided <br />~ ,~,~+~ Do not use for International Mail <br /> (See Reversal <br />0 <br />V Sem to <br />~ e an o <br /> <br /> <br /> <br />u ~ <br /> ~ <br />- P.0 . Sw~e a tl IIP Cptl• <br /> <br /> Postage <br /> <br /> <br /> Cenn~ec Fee <br />J <br /> Special Delivery Fee <br /> Peshicied Deiweiy Fee <br /> <br /> Rewrn Becalm 3nc.nng <br />~ m Wnom B Dare Del <br /> Rewrn Rece~p~ d~n <br />m <br />~j Dare, antl Atltl AtlOress <br />~l iDTAL Posia ~ M <br />~ B Fees ~ (1 (~ <br />W Postmark or <br /> -...r <br /> ~O <br /> , <br />nL <br />