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" $~fiOER: <br /> •ConWt• t1snF• t anaor z fp eddidoraW a•nias. I also wish to receive the <br />• •CappM• iMnr s, es, end eb. foNowing services (bran _ <br />~ •Pdnt your name and edtlmas an the reverse of this (orrn w mar w• c•n rerun Ihia extra fbe): <br />+ <br />j card to you. ,µµ <br />•Attach NiE form to the (rorx of the maNprece, a on.llre back if specs tloes nd <br />rr~J~'' ~, ~ Addressee's Address • <br />~ <br />~ <br />O Permit. <br />• Wdte'Re(um Aacwipf Requeafed' on the maspiece bebw tM article number. <br />2, (] Resirictetl DBlivery ~ <br />y <br />£ •The RNUn Receipt will show to wMm Itq adicle was delivvad end Ihedate n <br />~ deirvered. - Consult postmaster for fee. ~ <br />0 <br /> 3. Article Addressed to: C ~ 4a. Artlcle Number $ <br />°' <br /> E <br />E ~'~`~ 4b. Service Type <br />~ N$ JDNN SLINAN ^ Registered p Certified <br /> SDUf1IIfEST EEADP NIY INC p Express Mail ^ insured <br /> 3P400 N(CSYAP 96 EAST ^ RetumReceiptforMerchandise ^ Coo <br /> PUE8L1] CO 81006 <br />7. Dafe of Delivery a <br /> <br /> 5. Received By: (Print Name) 6. Addressee's Address ( ly if requested ~ <br /> and lee is paid) t <br /> r <br />~ 6. Signature: {Addressee or Agent) <br />ao. ..X <br /> PS Form 3811, December raga Domestic Return Receipt <br /> <br />~~ Rec"iYpp't~~fo~ ~~~;~-f~ <br />? ~ Ce~f1@c# N~~L <br />No Insurance Covera i e <br />~ ~~ Do not use for Internatton Mail <br />Q (See Reversal <br /> s. <br />a. <br /> sl NN JOSE SLINAN <br /> P SOU1NiBSP EBADP MIY INC <br /> J7400 NICNYAP 96 EASE <br /> P` PUEBIA CA H1006 <br /> eenll~eo .ee <br /> Sceoai Oeererv Fee <br /> J <br /> PesmClep Deeve~v <br /> ~ <br /> Rewm Receipt D g 1yf{}F <br />b <br /> ID WDOm 5 Oal n¢ r¢d <br />V <br /> ReNrn Peee~pl 5 ~ <br />W' <br /> s Tess <br />Dai¢, anD 0.gp~es <br />•r TOTAL Postage <br /> a Fees <br />T <br />r'F~ <br />Postmark o~ Daie <br /> <br /> <br />