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d SENDER: ~ _ 1 also wish to receive the <br />d •COmplete items 7 anNw 21or eddiaorW serricen. <br />m •Gomplete items a, ea, end ab. folltrwinq Services (for en <br />mw •Pdnt your name antl address on Ne reverse of Ihis knn ao Ihat we can velum this eldra fee): <br />urtl to you. m <br />~ •Anach this tomr to the horx of the mailpiece, or on Itre baU it space does not 1. ^ Addressee's Address u <br />~ • Wn ai1 Retum Receipt Requested' on the mail ace below the aniGe number. m <br />m p 2. ^ Restricted Delivery N <br />~ •The Relum Receipt will show to wtmm the aside wan delivered and the date <br />~ delivered. Consult postmaster for fee. <br />0 <br />rticle Addressed to: rticle Number <br />~f-kbu~ ~ ~w~ ~z~ Ca~ 52~ ~3I 3a) <br />4b. Service Type ~ <br />~> ^7~.~ Y <br />S t ~ ~- d ~ ~~ ` ~ J ~ ~O ^ Registered ^ Certified s <br />^ Express Mail ^ Insured 5 <br />a <br />rn ~Cr~~CO ~~~7 ~~ <br />~ t ^ Retum Receipt for Merchandise O COD 3 <br />D 7. Date of Delivery <br />7- 5-97 a <br />~ 5. Received By: (P 'nl NameJ 8. Addressee's Address (Only it requested ~ <br />~ , p~ d / ~ L o Nom" - antl fee is paid) L <br />5. SXnatufe; (adaressge~Agen <br />a°, //,,66~~II <br />m ~' <br />PS Form 3811, December 1994 <br />6 431. 329 <br />V IIS <br />r Certified Mail ~ <br />'rj!'~ a Coverage Provided. <br />((fit'"' t use for International Mail (Sea reversal L, <br />77 <br />~F6 <br />cettired <br />N <br />to <br />o~ TOTAL Postage 8 Fe .. <br />Posbnerk a Date 0 <br />0 <br />LL ~ <br />N ~ <br />a N <br />