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<br />v SENDER: I also wish to receive the <br />O <br />M • Gomplele eertis 1 ano!or 2 for atltliLOnal serVr[es. <br />• GO/npIBIC ilem5 ~, 4a, dntl 4b. following eP. NICQS (for an <br />u • Pnm your name antl atltlress on the reverse of Ines lone so Thal we can return This extra fee): <br /> <br />m <br />m cartl to you <br />. Anach this form to the Iron) OI me mailpiece, Or on the back .1 spade does not <br />1. ^ Addressee's Address ~ <br /> <br />~ petmlt. <br />• Wnle 'Return Recetpl Reque>tetl'on Ine marlpiece below the a <br />n¢le number. 2. ~ Restricted Delive <br />ry m <br />rrl <br />t. • The Return Receipt will show to whom the adicle was tlelrveretl <br />delivered. antl the dale Consult postmaster for fee. <br />0 3. Aprticle Addressed to' <br />'c3iu.t <br />Ut•til <br />o <br />' ~ l <br />l 4a. Article Number <br />2 ja~ ~-j-7~i' <br />z ~Q <br />~ <br />a ( <br />~ <br />c <br />. <br />,"lotn.rt-fZC; ~l <br />1 o E <br />a <br />~ <br />~n ~~~ J 1 ~ ab. Service Type <br />^ Registered ^ Certillad ~ <br /> ~/ ~ ( <br />~ <br />3 C~ <br />C ^ Express Mall ^ Insured ~ <br /> `( <br />C 7} <br />~~YV1e,4~SC %~ ^ Return Receipt f ise CQD ~ <br /> 7. Date of Deliv ~, . t ~~ 3 <br /> \~\V+ <br />J <br /> O <br /> 5. Rec ived 8 : (Print Name) B. Addressee' Ad ress n}~il Bred <br />' x <br /> <br />U / Ct,f e ~ ~ and tee is p <br />d) , .: Y` h~, ~ <br />t <br /> 6. Slgnat e: (Add es or AgenfJ ~i~ •S~ t~ ~ <br />0 <br />T <br />" <br />PS Form 3811, December 1994 <br />Iwses,se-e ozzs Domestic Return Receipt <br />~„~ Z 192 124 476 <br />N US Postal Service <br />~ Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Q Do rwt use for International Mail See re <br />CJ Ito <br />ocln`~rN a P41 <br />S t umber <br />c <br />~0u Sy/ <br />~ P Office, Stela, 6 Coda <br />rSe'~ <br />Posia9e <br />CV <br />E Cartlfied Fee ~lO <br />c____... ,_ r. <br />TOTAL Postage 8 Fees I ~ ~ _ <br />Poshnark or bate <br />