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� N <br /> eCarnpete Arm.t andror 2 fa additionalaervims. I also wish to receive the <br /> p •Complete flsm.3,4a,and ab. following services for an <br /> a Prim your name and address on the reverse of Ittis$a m so that wa can return this extra tee): <br /> card to you. - I .i <br /> j Attach dis lone to the front of the mallpisn,or on the back if space does not 1. ❑ Addressee's Address p <br /> Permit. o <br /> p awrite'Refum Receipt Requested'on the meApiece below the edicia number p, ❑ Restricted Delivery y <br /> t. aThe Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postrnaster for fee. <br /> a 3.Article Addressed to: 4a.Article Numb r <br /> IV <br /> ' z ���. a <br /> a E <br /> E 4b.Service Type <br /> u <br /> ���kA,,,, ❑ Registered Certified S <br /> / Cv•t(� ❑ Express Mail ❑ Insured � <br /> c <br /> A• <br /> - ❑ Return Receipt for Merchandise ❑ COD <br /> `/�/,' 7.Date of pelivei�/ <br /> 0 <br /> a <br /> 5. Received By: (Print Name) 6.Addressee's Address(Only if requested <br /> LU and fee is paid) i <br /> g 6.Signature (Addressee or Agent) <br /> o X <br /> r a <br /> p <br /> Ps Form 3811,Decirlil 1994 Domestic Return Receipt <br /> J Z 41,6 942 606 <br /> Receipt for <br /> V <br /> CSCertified Mail <br /> No Insurance Coverage Provide <br /> (D .�9:P:r 1 Do not use for International Mai <br /> f e everse) <br /> m " r <br /> � sire ar O� � LINFt' <br /> p /8 <br /> OP 0 SI ;otlt <br /> POslage lam+ 1 CD <br /> 1 <br /> a00 <br /> "r $ w <br /> G CoLitea Fee <br /> N Soecul Deiwery Fee <br /> a13 <br /> Resmue0 DeWery Fee IV <br /> 1 <br /> Return Receipt Showing <br /> to Whom B Date Denveetl j — — <br /> Return Receipt Sho—r?,' hen. <br /> Dale,and Atlmessee'I gr¢se 7 <br /> C <br /> &FemiTAL Postage f. A (D <br /> fees i _1�1 <br /> Postmark or Dale 0 <br /> O <br /> 00, <br /> N <br /> ' W <br />