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~ SE- N y~- <br />V •COmple~, ~ w nrldor p for add~tiona~ services. 18150 Wleh 10 feCeiVB thB <br />'n •Comvle+. ne.ne ~: ae, and <b. following services (tor an <br />m • Pdnl your namn a ~d adtlress on die reverse al INS tone s0 that we can return lh~! BXfra fBe1: <br />/ <br /> f2fd 10 yOY. Y <br />~ <br />j •Atlach This loan to the from of the malpiece, or on the back if space does not ~, 0 AddresaBB'S AddrBSS <br />d <br />m pennil. <br />•Wrrte'Rerum Receipr Aequesled'on the meilpiece below lheanicle number. <br />2.^RBaIflCted Delivery d <br />y <br />~ •The Return Receipt will Show Io whom me snide was tleliveretl entl the date <br /> <br />~ <br />aeliverea. <br />Consult postmaster for tee. 4 <br />.v <br />O a <br />~.~~.. <br />52l ~.t~4tkt~n Qt1 <br />_~~n C,~ gO~~D <br />~ 6. Signature: (Addressee'orAger <br />T X <br />m <br />cl <br />m <br />~ J5 ~ ~~5 <br />I'~ <br />~~ ~ <br />4b. Service Type <br />/ <br />a <br />^ Registered j~Certified s <br />~T <br />^ Express Mail p nsured <br />c <br /> <br />^ Re[um Receipt for Merchantlise ^ COD a <br />7. Date of Delivery <br /> e <br /> T <br />6. Addressee's Address (Only it requested ~ <br />and /ee is paid) i <br /> r <br />PS Form 3811, December 1994 <br />