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~. <br />v° SENDER: <br />'y Complete items 1 andror Z for adtlrtwnal s¢rmces. <br />m • Complete items 3, antl 4a & b. <br />~ • Pnnt your name and address on the reverse of this form so that we can <br />0 return this cartl to You. <br />y Attach this form to the Irons of the mailprece, or on the back if space <br />does no[ permit. <br />• Write"Return Receipt Requested"on the medpiece below the article number <br />• The Return Receipt will show to whom the artmle was delwered and the date <br />~ delwered. <br />e 3. Articl~Addrlpssed to: 4a. Art <br />E 4b. Sel <br />M ~Ilf Cbvll~ <br />nU.S. GPO: 1893-]23ipI DOMESTIC RETURN RECEIPT <br />Q <br />o ^ Registered ^ Insured <br />m ~ <br />M~y <br />I LJ.:J [•~"Certitied ^ COD ~ - _ r 5 <br />w ~~ ~~ ~ <br />( ~~ I~~. ^ Express Mail ^ Return Receipt for <br />M <br />h <br />di ~ <br /> <br />O erc <br />an <br />se <br />w <br />O 7. Da of eliverys <br /> 5. Sign ure (Addressee) R. A dressee's Address (Only it requested ,Y <br />F'- VLF /` /~ ~ L and fee is paid) ~ <br /> <br />,W. <br />fi <br />Sinnature lAnan 1 L <br />I- <br />7 <br />O <br />> PS Form <br />N <br />n. <br />~ SENDER: <br />'y • Complete items 1 and/or 2 for atldinonal services. <br />m Complete items 3, and da & b. <br />~ • Print your name antl atldress On the reverse of this form 50 that we can <br />~ return this card tp you. <br />` • Attach this rorm to the front of tha mailprece, or on Ne back it space <br />does not permit. <br />t Write"Return Receipt Requestetl"on the mailprece berow the article number <br />• The Return Receipt will snow ro whom the article was delivered one the date <br />~ delwered. <br />v 3. Article Addressed to: 4a. Art <br />Mr.~".IZ..~t~v)~-~ieSL~ <br />E ~~o~n C~ IeSon <br />y 3~q 5 C.-~ <br />~I ~~ m~ , (,c~ <br />also wish to receive the <br />following services (for an extra ~ <br />feel: 'a <br />7. ^ Addressee's Address y <br />2. ^ Restricted Delivery •~ <br />Consult postmaster for tee. d <br />le Numb <br />~fla~ aa3 <br />ice Type ~ <br />I also wish to receive the <br />following services Ifor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restrcted Delivery <br />5 ~ 4b. Service Type <br />^ Registered ^ Irysured <br />I ~ ~ ^ Express M{;il ~' tulq <br />Mu•rha <br />%_~. ~ c <br />R. Addressees }1 res9 ll <br />and fee is otitl() r~lc <br />eCeiPt for <br />dse t. <br />d <br />V <br />.' <br />0 <br />V! <br />n <br />~m <br />U <br />d <br />E <br />m <br />m <br />c <br />.N <br />0 <br />0 <br />Y <br />C <br />L <br />H <br />> PS Form 3811, December 1997 trU.S.GP0:1092-3116V1 DOMESTIC RETURN RECEIPT <br />N <br />