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.SENDER: Compote Items 1 entl Z when eddltloml urvlees era dnlr and complete hems 3 <br />end 4. - ti <br />Put your etltlreu In the "RETURN TO" Spec the reverse sltle. Failure to do this will prevent Shia <br />wrtl }rom being returnetl to You. TM ntum ~racelot fee will orovltle you the name of the oerson <br />tl h e of 'v For edtlltlonsl fw tM following services ere evelobla Consult <br />POet~me~y1er for fees end check boa N) Sor etldltlonel sarvlce(sl requested. <br />1. ~Y'how to whom tlellvered, date, entl atldressee's edtlrep. 2. D Restricted Delivery <br />1 /Extra charge/ 1 1(Exrra charge/ i <br />3. Article Addre d to: rticle Number <br /> T <br />ype <br />oi Service: <br />5 ~~ <br />~~ <br />C <br />~' <br />` <br />d ^ <br />S <br />~ ertlflW <br />a <br />C <br />COD <br />^ Express Mall , <br />/ ~ <br />~ ~ AlwaYS obtain tlgtleture of addressee <br /> or agent and D V ERE <br />Signature -Addressee B. Address !}tldrass=(N if <br />X ~~ ~~ reques ` ,gn~ee pai <br />~ `+i <br />tgnature - g nt ..; <br />v7 <br />• `, ~O <br />ti <br />) -; <br /> ~ <br />` <br />Oo. <br />'Y <br />7( F <br />Data of Delivery \ <br />~~ \~~ <br />j <br /> , <br />PS Form 3811, Mar. 1967 • U.S.G.RO. [gB7-s7&46e DOMESTIC RETURN RECEIPT <br />P 66b 579 3[78 <br />Certified Mail Receipt <br />No Insurance Coverage Provided <br />^ statse~R COd not use for International Mail <br /> ~Q~-~y- lor:o nc.m ~cf <br />r <br /> aenl <br />to '. ,,,r ,,' <br />(AA/l vlV <br /> Slr No <br /> ~5.5~- - <br /> .o., sm~ a nP coae.t . <br />,~ <br />(~ Sob <br /> Postsge %'v <br />~' •~ , <br /> <br /> Dend~etl Fee i '~ <br /> ~ s~ <br /> Special DBhvery Fea '~~.~ .. <br /> 1 <br /> Reahtcled Delivery Fee <br /> ReWrn Receipt Showing <br /> to Whom d Date Deliveretl <br />. Return Receipt Showing to wham. <br /> Date, d /dtlre66 of Delivery <br /> <br />- TOfA~ Postage $ 3 / 0 <br /> a Fees <br />Ig Postmark or Dale <br /> <br />N <br />a <br />