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SPeC. <br /> SENDER: I also wish to receive the I Z 4 3 9 41 Fh5e1 D o <br /> :Complete Nett.t and/or 2 for additional sorviw. US Postal Service '* 7 <br /> ,PCorrplefe Mt yow,raf1ea „,dm.n. extrafollo fee services(for an f Receipt for Certified f�fa11—�■Pant yow rrrtr en0 address on the nvares d Nb ntm so dttl we can Mum itYs extra tee): P <br /> Card to yya,. No Insurance Coverage Provided. <br /> .Attach eks Corm a tM front of trw mallplece,or on the tack It spats does not 1.❑ Addressee's Address <br /> ppaa % Do not u for International Mail See reverse C..) <br /> .W"le'RNum Hecalpt./iepnsfed'anthe nWlpeca bases the article number. 2.❑ Restricted Delivery Sent to <br /> .TM Raium ReoeiplYAN show to wham tM ands was delivered ara the data .: <br /> delivered COnSLa pO5b11Be1Bl for 188. <br /> 3.Article Addressed to: 4a.Article Nu r Street N C 1 <br /> �r we 1r► p JT <br /> Pot a Slate 8 ZIP r O0 <br /> / T 4b.Service Ty <br /> /(./g /-v t-Q� S"� • ❑ Registered ❑ Certified Postage § C - N] cc <br /> / % C���� �Z�� ❑ Express Mail ❑ Insured Certified QNVEq <br /> / a k n �U ) ❑ RMum Renipt for Mercherdw ❑ COD E <br /> 7.Date of DBAvery Speda i Fee m <br /> /�, nLj I <br /> 5.{1eceived By: (Pr ) S 8.Addres d e s if requested ���{{{ ,� Ram c ee a <br /> end fee is paid) i Retum ovnng 1 `y <br /> FI Whom A Dehv 6 L <br /> 8 ignature:(Addr ee or Agent) oReto Recept <br /> X ¢ Dale,6 Atldessee's Adhass CM <br /> ! PS Form 3811,December 1994 Domestic Return Receipt CO <br /> 9 TOTAL Postage d Fees s <br /> Postmark or oats <br /> 0 <br /> LL <br /> N <br /> EL <br />