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<br />"SENDER: <br />v <br />, <br />_ <br />y • Complala itsmc 1 aM/or 2 for additional aervicaa. I also wish to receive the <br />O • CanpMra irami 3, and 4a 8 b. fellOWlrlfl 50rVIC05 (fef en extra m <br />~ Print your name end address on the reverse of this form so t hat we can <br />feel: •~ <br />~ return this card to you. <br />` AHecli this form to the front of the mailpieca, or on the back If space 1. ^ Addfe55ee'S Address O <br />N <br />does not permN. <br />y • Write'fleturn Raceipl Requesteo"on the meilpiece below the a nkle number. <br />2. ^ Restricted Delivery 6 <br />• The Return Receipt will showto whirm the article was delivered <br />o delivered. eM the date <br />Consult postmaster for fee. of <br />c <br />v 3. Article Addressed to: 4 Article Numher <br />a /'lr Qrzk r~c~efS a (00 '1S g <br />qor p O D ~lr~` <br />u ~Q ~ ~Gn__/ <br />- T Ge .C ~d 4b. Service Type <br />^ R <br />ured <br />istered ^ In <br />y <br />~ <br />g <br />s <br />~ ~ <br />y ~ ~ ~~ ~~ <br />/~ ~6 <br />uN~ rtified ^ COD C <br />w "' ^ Ex ress M ' eturn Receipt for <br />p ~ <br />G <br />Cv ~~yyU handise <br />~ ~ir <br />~4 w <br />° yy <br />P 7. Dateo ery <br />a Q APR <br />0 <br /> 5~ Sign a (Address 1 8. Add e's A ass 1 f requested Y <br />7 <br />~ and pal nC ~ <br /> <br />6. Signature 1Agentl ~ <br />JJ <br />~_~ L <br />~ <br />o ~ rS <br />0 <br />N PS Form 11, December 991 ws.oro:raw-nsa~[+ DOMESTIC RETURN RECEIPT <br />_~ <br /> <br />L <br />f <br />C <br />Cn <br />a <br />1 <br />T <br />Tt <br />V <br />f=] <br />P 296 6177 757 <br />_ -' l <br />Receipt for P„~ N\ <br />Certified Mar <br />O _ _• No Insurance Cove ~r vlded <br />~ u» Do nor use for In rn~ al Mail <br /> ~n <br /> sP i i, n ~ . S <br /> ! <br />(,O F !i ~ G <br /> 5/er'I a^J Ne <br />6 <br /> / L 4 / <br />.ti P O Stale ~tl ZIP Cotle <br /> <br />' Posiag <br />V Leil~lietl F+e ' <br /> Speaa. Deaver .e <br />= <br />' <br /> , . <br /> Feslucletl DelrverY ~Yt ' <br /> <br /> B <br />p m wnor~ <br />Da We~.er <br />• <br />y^ <br />G Pemm Pewmi vr9 :o N <br />Dale antl 4amess e s tl~e~ p_ <br />-v <br /> <br />~ TOTAL Poslagr <br /> S Fees <br /> POSlmdrk Or Dd12 <br /> <br />7 <br />E <br />~ <br />o ~'o~ry <br />,_ <br /> <br /> <br /> <br />