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SENDER: I also wish to receive the <br />• Complete items 1 antl/or 2 for atltlitionel services. tollowing services (tor an <br />• Complete hems 3. 4a, antl 4b <br />• P4inl your name antl atldress on the reverse of Ihis lorm so that we ran return Ihis <br />eXtfa lee): <br />card to you. <br />• Anach Ihis Iorm to Ih@ hoot of the madpiece, or on the back ,I space does not <br />1. ^ Addressee's Address y <br />~ <br />'~Qennd <br />, me 'Reurn gace~pr Requested' on the madpiecn below the article number. <br />2. ^ Restricted Delivery <br />W <br />•: he Relum Receipt will Show to whom the aniCle was tlel,vered antl the tlafe <br />dWrve.ed cOnSUiI oslmasler IIJr lee. <br />P <br />n <br />r~ ~~> ~.vci 1-d.~~ ~-s~u ~ <br />~i-~-n ~`~ ~~u/tc~~t~~ ]~~1C <br />~(.Q ~ j .J r.1G ~LS~~ 1-tIC~ Vl~ <br />5. Received By: <br />6. SignaWr : (Addr ssee A er <br />X <br />PS Form 3811, December 7994 <br />Z 19~ (ay <br />44. Service Type <br />^ Registered <br />^ Express Mail <br />^ Return Receipt far Merchandise <br />8. <br />t025959B-B-0229 Domestic Return <br />c~ Z 192 Z24 598 <br />o , ,,, <br />?1(~Cn <br />~'c~ <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />U Do oat use for Into afion Mail See revers <br />3em to <br />~ ~ l <br />~, Slreer 8 Number <br />1 <br />I 13 ~ <br />J <br />~ f-~ <br />~ - <br />c <br /><. <br />A PmI Orfiy smte, a nP <br />G e <br />` <br />' <br /> Lolc <br />l g <br />11C <br />7(a <br /> <br />[V <br /> <br /> CereFed Fee <br />a_ Spadel DeFVery Fee <br />C <br />~ Resedcted Dertvery Fee <br /> Rehm Receipt Showing to <br />Wlmm d Date <br />.. ~~ <br /> Ream) R <br /> Dave, 8 <br />If`~0 707A P prd /~ <br /> P N ~ q <br />4 J <br /> r <br />S Q/ <br />6 <br /> 86 <br />d <br />u <br />~- <br />Cedilied ~ <br />^ Insured ~ <br />^ COD ~ <br />0 <br />requested r <br />Y . <br />C <br />m <br />L <br />r' <br />and lee rs paid) <br />~ ~~/ <br />C_ <br />