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• Z 376 003 980 <br /> m SENDER: I also wish to receive the US Postal Service <br /> 9 e Complete erns 1 wvlor 2 for additional services. following services for an p Certified Mail <br /> i e Complete iteme 3,4a,and 4b. g l Receipt for <br /> a e Pint your name and address on ere reverts of this form so roar we an mtum this extra fee): u I No Insurance Coverage Provided• <br /> card to ou, <br /> m` .Attach s loan to the frail of the mailplea,or on the back If space does not 1.0 Addressee's Address o not use for International Mail See reverse <br /> 2 Sent o() .ppeerm°' 2. Restricted Delivery ...) <br /> m e Mile Weam Rec t will s hawse won the meilpleae a dai the artluie number. v <br /> •The amd. Receipt will show ht whom the artltle wu tlelivared end the date Consult postmaster for fee. 6 Streel8 Number �!n �n C� <br /> demrered. <br /> ii 3.Article Adtlressed to: 4a.Article Number m 00 7&SC. L*( <br /> D c <br /> (y Olfi e, PC <br /> �ip y ,� q Slat <br /> r 1�e <br /> n � (,/�,�•/ a 4b.Service Type O 1 <br /> E m Postage $ <br /> //'/ ❑ Registered 0 Certified x v �� <br /> /r�o6 � �� • ❑ EVress Mail ❑ Insured Certified Fee <br /> 1 rho <br /> �a/ / / _�� /)r ❑ Return Receipt for Merchandise ❑ COD <br /> *At— � Special Delivery Fa <br /> % ate of Delivery <br /> htlt ii Restncted Delivery Fee <br /> T <br /> 5.Received By: (Print Name) a essee's Address (Only i/requested m Refunt RecCp(Showing to ��II <br /> Iand fee is paid) a = whom 8 Dale Delivered dS <br /> 6.Signa e: Addle ee�r gent) \ ,dj a p,` yR""0t Vilioi' <br /> i. �� \ 9JSpc m TO <br /> co \' 9� h <br /> " PS Form 3811 ember 1994 Domestic Return Receipt E Postrtak dr Dalet - — <br /> o — — <br /> a <br /> Received <br /> Z 376 003 991 AUG 12 1999 <br /> US Postal Service <br /> Receipt for Certified Mail Dlv5Dural fieb 0 <br /> n n No Insurance Coverage Provided. OingknerZo Field nice <br /> Do not use for International Mail See reverse) $Geology <br /> Sent to Nu,y �. _(_' <br /> Street 8(Nu3r/p <br /> Post QNM,Slate,&ZIP Code O / o <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> u <br /> � Return Receipt Showing to <br /> Whom&Dale Delivered <br /> n Reim Rfteip v4ingtowhom, <br /> Date,d Addmaek Adim <br /> mTOTAL Postage s Fees $ C( q <br /> 1'2 Postmark or Date <br /> E <br /> o` <br /> tl <br /> OL = + <br />