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t <br />m SENDER: <br />s • Canplela items 1 and/or 2 for atldi4onal eerviceo. I also wish t0 rBCeiVa 1110 <br />'m eComplete ilem9 3, da, end 4b. fOIIOWIng SeIVICe4 (fOr en <br />„ ~ Pdnl 1roal name arld eddRee On the leYBISe Of this lann 60 Net We Can rBlam ltee <br />~ extra tee): <br /> <br />i wrd to }au. <br />•Macll this form to the hoot of the mailpiece. or an the back it space 0oee net <br />1. ~ AddresSBe's Address u <br />' <br />Z <br />o <br />y permit <br />eWdte'Aetum Receipt Requeeted'on the mailpiece below the article ruanber. 2. ~ Resihded DBliVery y <br />c eThe Relum Receipt will show to wham the article was tleliveretl end the dale <br />~ delrvared. Consult postmaster for fee. <br />Y <br />O <br />~ 3. Article Addressed to: //!~ ~ <br />~' ~Yb ~ l (i c) / l L j~ <br />a ~~ Lo rar'o ~ ~/~ // <br />E c u~ (~ r~,c7rf ~~ ~ ~~ <br />z9~8S / <br />`~ O~, k ~' ~ L C `C' `~L15~C 7 <br />~~ <br />Q <br />5. Received By: (Print Name) <br />r-31 t I B~1o~cc IL <br />~ 6. Signature: ( esse ~~~ <br />T X <br />el <br />48. Article Number <br />i~2f3 35 1 595 m <br /> <br />e <br />4b. Service Type <br />v <br />^ Registered ~. ~ Certified <br />~ a <br />^ Insured <br />^ Express Mall 5 <br />^ Retum Receipt for Merchandise. ^ COD <br />7. Date of ~QeJ/ive /' q~ <br />C/ ~ O L <br /> <br />T <br /> <br />8. Addressee s Address (Only it requesred ~ <br />and !ee is paid) c <br /> r <br />PS Fonn 3811, December 1984 <br />5~ <br />~~~~ <br />u <br />a <br />f <br />n <br />u <br />e <br />0 <br />~~~P 213 351 595 <br />u~"~kl'ak9e14i~,n\ <br />(C~rtified Mail <br />o erage Provided. <br />~ <br />o t use for Inle ational Mail See reverse <br />I <br />to <br />v~ , a n.~ <br />o. <br />a <br />~ a I ~ <br />// <br />77 <br />) <br />~q ~~ ~ `ut(2 ~CV ~~ <br />~~vPe~ U sOtf(o <br /> S <br />Codified Fee <br />Spedd Dslivay Fee <br />Recaicrotl Defrory FeD ; <br />r <br /> <br />Return Peoeiq <br />YMand Date _ <br /> <br />{tAl!` <br />! RNm Ratpl K, 1 <br />~' <br />1 <br />DAe,6Adt Y .C. <br />2l <br />~ TOTAL Pos(ape Foe ~?` '~ a <br /> t <br />Poettrnadrap a 1P~ Off/ , <br />''~ 642D0 <br />t <br />~~ <br />W <br />w <br />Cn <br />m <br />w <br />N <br />r <br />fJ1 <br />(D <br />N <br />n <br />N <br />GOJ <br /> <br />