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SENDER: Complete items 1 and 4 when additional services ere declred, end complete itamc 3 <br />• <br />end 4. <br />Put Your adtlrese in the "RETURN TO" Space on the reverts side. Failure to do this will prevent this <br />card Irom being returned to you. Sha return receipt lee will provltla you the name of the parson <br />delivered to end iha tlate of tlellverv. For additional fees the following services era available. Confult <br />postmefter for feat entl check box(ef) for edtlitlonel service(s) requested. <br />1. ^ Show to whom tlallverad, data, end edtlrescee'f eddrefs. 2. ^ Jiestrlctad Delivery <br />t (Esrra cha <br />FeJt 1(Ezsra chargeJt <br />r <br />LL <br />3. Articleticle Addres 4. rticle Number <br />ly <br />~~J ~ (Q (a S79 .~ <br /> Type of Service: <br />R ~/ <br />o <br />P <br />~ ~ 5 ^ Registered ^ Insured <br />, <br />^'o !~ 'Certified ^ COD <br />C'`!~ "2 l~ <br />L6S <br />J Y ^ Express Mail <br />. <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED, <br />5. Signature -Addressee 8. Addressee's Address (ONLY if <br />X requested and fee paid) <br />6. Sign re -Agent <br />X <br />7. Date of Delivery <br /> <br />P$ Form 3811, Mar. 198'7 : u.S.G.P.o. t9a7•t7a-468 DOMESTIC RETURN RECEIPT <br />P 666 579 304 <br />oM ~ Certified Mail Receipt <br />(V No Insurance Coverage Provided <br />OOD ~ Do not use for International Mail <br />,~ ,~ (See Reverse) C. .~~ <br />I, <br />k'' <br />U Sam Ip <br /> <br />>_ <br />~ Slreei d No <br />' . 30 >< 53-5 <br />~ Ro., slate a ziP coea <br /> <br /> ~ 8/ 43 <br /> Pos <br />w_ <br />"/ <br /> <br /> ~d~ <br /> ^ nal rery Fe <br />IL <br />l6 Resmtlatl De <br />C <br />~ e ipt vying <br /> o m al elrvered <br />(nom 91 R 'pl ing b Whom. <br />(s~~ <br />T~ bel es Delivery <br /> <br />M~ <br />e <br />~ Q <br />C <br /> <br />b 2 <br />_ <br />r~yt sl rF al <br /> <br />O <br />S <br /> <br />a <br />c <br />w <br />