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_c~~'~t~ <br />o SENDER: <br /> <br />v <br />•Coniplete items 1 ardor 21« eddlllottel services. I also wish to receive the <br />• •Domplete items 3, ae, end bb. fOIIOWing SBfVICes (tOr 8n <br />e • pdM your rams and eddiesa on the reverse of this Nrrri so Ihet ws mn return tMe BXfra fee): <br /> r&tl to you. I <br />~ •Mec, this form to tM hont of the mdlpl•a, or an the beck if span doss rwt 1. ^ Addressee's Addf ess <br /> i <br />v <br /> 'Refum Rxwipf Requested' on dr meeptece bebw tM erticN number. <br />• W <br />n e 2. ^ RBSfdcted DBIfVe <br /> •The Return Racapl will show to whorls dre snide was deMaretl end the Oale <br />~ tlalivered. Consult postmaster for fe . <br />o _.. _. .... .. <br />6 bb. Service Type <br />v ~ ~~,~~ r~ `~ I ^ Registered Ce fieG <br />C /~~ C:, I (Cj)- ~ ^ 6cpress Mail ~Ins~Lred <br />~(j Y~l ~/u ~S l- ,S eNm Receipt tar Me dice ^ COD <br />5. Received By: (Print Name) 8. Addressee~'s/'Alddress (Onl it reques ~ d <br />~ , ~ ~, and lee is paid) <br />3 6. Signature: (Apd ~ ~ee ~ e <br />i. X \\!~. <br />n <br />Ps Form 3811, Decemb~r tsisa Domestic Return Receipt <br />c'~ <br />0 <br />0 <br />O <br />U <br />a`~ <br />C <br />rv <br />f~ <br />iri <br />r <br />N <br />LY <br />C <br />fV <br />E ,~ <br />m <br />L <br />M <br />~g <br />~~ <br />~S <br />` LL <br />~ a <br />P 076 556 465 <br />US Postal service `~'' - ~~~. <br />Receipt for itied,Mail~ , , ., <br />No Insurance Cove rt <br />^n nM uca Inr Intamatinnal Alail LCaa mvomol <br />t~"U~,~Z ~ A ~ Z <br />at a Number <br />Poet a, stale, a 7fP CatleG ~ ~ I (~1 <br />l <br />. <br />Postage s <br />Cartifed Fea ~~ lw¢ <br />Spatial Dd' ~ <br />Rutrined Fee e <br />Relum Repipl <br />wtam a D Debvered <br />ReCm Reteq <br />Dbe, 6 <br />rorr,~ portage a <br />Posbnark or Dale ~ <br />r~ <br />N <br />0 <br />c <br />f <br />0 <br />T <br />Y <br />c <br /> <br />