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<br /> <br />SENDER: I also wish to receive the <br />. Complete items 1 antl+ol 21or ao0inonal services. IOOwing ServlCee (tor an <br />• Gompl¢te hems 3. Sa. antl 4h. <br />• Pnni your name an7 atltlress on the reverse of Ihis form so Thal we can return finis <br />extra fee): <br />taro 10 you. <br />• Anach Ih~s tone to the Irons of the mailpiece. or on the back d space does not <br />1. ^ Addressee s Address <br />permit. <br />' ^ Restrictetl Delive <br />2 <br />on the matlpiece oelow ine an~Cle number <br />• Wrlie 'flelurn fleccip! Requesletl . <br />ry <br />• Ache Return Receipt will show to whom me article was tlelrveretl antl me tlate Consult postmaster for fee. <br />42. Adicle Number <br />/~'/i24~t1 SBZ.G S <br />~• .SOX ~ 67Z <br />r~oyd', ,OZ 86~Yo <br />4b. Service Type -/ <br />^ Registered C1lCertified <br />^ Express Mail d _Insured <br />^ Relum Peceipt for M rchandise ^ COD <br />7. Date of Deliveryry <br />6. Atldress'bds Address (Only i! requested <br />and lee Is paidt <br />or Acenll <br />X ~9'~~~~ ~i~ ls~t~ <br />PS Form 3811, December 1994 <br />102a95~98~B-0229 Domestic Return Receipt <br />w <br />N <br />n <br />d <br />c <br />d <br />m <br />c <br />N <br />0 <br />0 <br />T <br />Y <br />C <br />m <br />r <br />u SENDER: <br /> <br />O <br />• Complete items 1 anb/or 2 for atltlilibnal services. I also wish to receive the <br />u • Complete items 3. da. antl db. fbllOWing SeNICBS (fbf an <br />m • Print your name antl atltlress on the reverse of mrs form so final we can return This extra feel: <br />i <br />~ cartl to you <br />• Anacn this loan to ine Iron; of ine mailpiece, or on ine back d space tloes not <br />1 . ^ AtldrBesBC'S Address u <br />` <br />~ permit. <br />• Wnie 'Rehm Recnrpt Repuesred on the mailpiece below the article number. <br />2. ^ ReatrlCted DQVery <br />N <br />y • The Return Receipt will Show to whom the article was tlelr+emtl antl ine tlete <br /> tleeverea. ~ Consult postmaster for fee. g <br />0 3. Article Atldressed to: 4a. Article Number ~ <br /> <br />v <br /> <br />d <br /> <br />~ <br />~ <br />y <br />n ' <br />~~~~ /j'Bl/~~, 4b. Service Type <br />~ ~ '3/ C-~A~ ~~ ~ <br />iV r <br /> <br />J ^ Registered ~certifietl <br />~\ <br />^ E <br />r <br />il ~ <br />M ~ <br />~ <br /> ~ xp <br />ess <br />a <br />Insured ~ <br />I ~1 <br />~ff~/1dXry <br />G ~ g ~o// ^ Retum Recelpl for Merchantlise ^ COD ~ <br />7. Date of Delivery <br />I <br />5. Received By: (Print Name) B. Addressee's Ad <br />~ and lee is paid) <br />~ ? 6. Sign: <br />T <br />~o~ <br />°-' PS Fon <br />T <br />'requested ,Y <br />R <br />L <br />ti <br />:eipt <br />