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S N <br /> •Conlpleto items 1"or 2 for addeonal wvicae. I also wish to receMd the <br /> e •Complete items 3,4a,and 4b. following services(for an <br /> e @c rnird 1 ow� � <br /> name and address on the reverse of this corm so that we can return this extra fee): <br /> Y@Attach this form to the front of the mailpiece,or on the back it fpace does not 1. 0 Addressee's Address •2 <br /> permit. <br /> @Wnte'Rerurn Receipt Requesred'on the mailplece below the ankle number. 2. 0 Restricted Delivery y <br /> @The Return Receipt will show to whom the snide was delivered and the dale <br /> c delivered. Consult postmaster for fee. <br /> e 3.Article Addressed to: 4a,Article Number <br /> a MR EARL 6 MS REBECCA BENNETT <br /> P 526 431 291 <br /> 1470 BWY 50 4b.Service Type b <br /> DELTA CO 81416 ❑ Registered Ceflitted c <br /> ❑ Express Mail [3 Insured <br /> ❑ Return Receipt for Merchandise 0 COD <br /> 7.Date of Delivv�ee/ry <br /> Qb ^ � <br /> l lJ i <br /> 5. Received By:(Print Name) 8.Addressee's Address(Only if requested c <br /> and fee is paid) i <br /> F <br /> B 6.Signatur ( ddressee or Agen <br /> e - <br /> PS Form 811, December 1994 Domestic Return Receipt <br /> PS Form 3800,April 1995 p`2 <br /> a a y+ v v Cl <br /> te2 _ Cpf N <br /> Qa <br /> S O -, m <br /> R"'a c <br /> rn a � vce Bwl7 w <br /> 8 a nA bj�,m � r <br /> a � <br /> H @ C, w o -• ru <br /> N pf m ff.M .D <br /> ~ am m <br /> � m <br /> m <br /> Q <br />