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~ S DER: I also wish to receive the <br />Complete items 1 antllpi 2 for etltlitional services. <br />m • Complete items 3, and ae 8 b. following services Ifor an extra <br />• Print your name and address on the reverse or this loan so that we tan feel: <br />m return this card to you. <br />~ • Attach this loan to the (root or the mailpiece, or on the back it space t . ^ Addressee's Address <br />d <br />~ does nm perms. <br />m • Wnte "Return Recei t Re nested" on the mail iece below the anmle number. <br />p q p 2. ^ Restricted Delivery <br />• The Return Receipt wdl show to whom the article was tlelivered antl the date <br />~ delivered. COrl Sllll pOetmaater /Or /ee. <br />~ 3. Article Addressed to: 4a~Article Number <br />n TIVYI {-~-CU'-Flel/ f c~~.0 (,10 J~~1 <br />4b. Service Type <br />v <br />.~ <br />d <br />N <br />a <br />.J <br />6 <br />p <br /> <br />N `~I `-L / ..J~-~ ~ <br />^~~ ~-7 <br />O l~Jx ~ / <br />~ <br />~ Bred ^ Insured <br />~ <br />^ COD <br /> <br />5 <br />W u~i-Iryr- / /~ Z/~¢ O <br />v ~ <br />k <br />lJk> <br />lG ! ~LJ E ~ Return Receipt for <br />i ~ <br />pc .. <br />- <br />.. Merchand <br />se <br />p > <br />m 7. Die of rill ery <br /> <br />Q <br />A ' <br />T <br /> 5. Sig ature IA dresseel Address (Only if requested ~r <br />G <br />~ <br /> - ,Sp~n tee <br />Paid) ~ <br />f L <br /> 6. Signature IAgent) ~ <br />7 <br />PS Form 3811, December tsst <u.s.aao:tu~z-szs+oz DOMESTIC RETURN RECEIPT <br />L <br />S <br />P. 296 607 593 <br />.~ G44~' <br />Receipt f C <br />Certified .~ <br />~ tAll~~pp4 once C ve <br />Do n t u~g f r ~nal Ma <br />~s•=<~ Ise slse <br /> em io <br /> T <br /> .~~ 0 f 0 <br /> e Beare nr ZiP Cod <br /> Rosiage <br /> Cend~etl Fee 0 7 19 5 <br /> <br />n Sueoai Deiwerv Fee <br />N flesrnpreg,DenvOyfet ral <br />1 M1 <br />i ~ eoogy <br />~ vlslo <br />D <br /> <br />~ flawm Rece~pr Snow 9 <br />Wn <br />8 D <br />D f <br />v ~ <br />• ro <br />om <br />ale <br />oi vere <br /> Rewrn Re~e~ol $now~rg t <br />' 1.r <br />Q Dare. aim notl~essee <br />9 Ae 5 <br /> TOt At vusiage F <br /> 6 Fee, 4 <br /> Posimart or Oale 'a <br /> <br />-E <br />70 <br />ti <br />~ <br />/u <br />