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~. <br />v SENDER ~ ` <br />y Complete hems I andlor 1 for additional services. I a150 wish t0 receive the <br />y Corplete items 3. antl Ga 6 b. following services (for en extra ~ <br />y • Prir_ your name and atltlress on the reverse of this Corm so that we can feel: .) <br />tp return this cartl to you. <br />m Attach this loan to the Front of the ma~lpiece, or on the back A space 1. ^ Addressee's Address y <br />tloes not permit. <br />y • Write"Return Receipt Requestetl"on the mailpiece below the article number. 2 ^ R25trleted Delivery G <br />• The Return Receipt will show to whom the article was delweretl and the tlate y <br />e tleiiv~red. Consult postmaster for fee. a~i <br />v 3. Arti le Address to: 4a. rticle Number <br />~, ien~u1'ss~. mad aT E <br />E I~~~.C~U 4b. Service Type <br />C _l y~~,~/y~ , ~y ^ Registered ^ Insured <br />tUn ~ ~I~f ll.f F1.J' I /UJ Certified ^ COD ~ <br />lJ c <br />w ^ Express Mail ^ Return Receipt for ~ <br />p~ Merchandise G <br />~ ^ ~ ~t~~ elivery w <br />Q_ ~ ~ - ~ o <br />5. Si nature IAd esse/~~~'~~~~ ~~ ~ 8. Ad - Address 1 my if requested Y <br />F """'a'aC/~~~ f `~~` p idl ~ <br />O y <br />W A fl Ci ~ <br />2 6. gnat re Agent) , <br />0 0 <br />N PS Form 3811, December 1991 aU.s.GP0:1G62-07S STIC RETURN RECEIPT <br />P 296 608 b39 <br />0 <br />N <br />0 <br />U <br />m <br /> <br />N <br />E <br />E~' <br />C <br />t ~ <br />~? <br />•~0 <br />r~ <br />~o <br />~N <br />~a <br />Rea,:i <br />Cqe-Irt~il~ <br />® Do•Adt I <br />r•~Y~r ISee <br />Mail <br /> <br />i to <br />.f <br />seea a~ o <br />P yie and ZIP Coo= <br />Postage 1 <br />a <br />Cemoeo Fee <br />Soeuai Denae~y Fe <br />Resmneo Deli <br />e <br />Relmn Recel hov(~pQ/~~T <br />w venom B ~~ De(y~~A`a~ O <br />Fewm Recei{1 no~ying io Wno <br />Dare. a~~d Atltl eFj <br />iOinL Postage <br />Fees <br />a <br />Poslmad o~ Date <br />