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o SENDER: I also wish to receive the <br /> o •Complete items t ardor 2 for additional services. <br /> m •Complete items 9,4a,and 4b. following services(for an <br /> •Prim your name and address on the reverse of this form so that we can return this extra fee): <br /> wrd to you. a! <br /> •Attach this form to the front or the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> Permit. . <br /> o •Wrtie'Retam Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery y <br /> S •The Return Receipt W11 show to whom the article was delivered and the date <br /> o delivered. Consult postmaster for fee. .v <br /> 0 3.Article Addressed to- 4a, cle Number u <br /> �ro�9 C�4Rn� as�A uill Ig ASS <br /> E 04 m^ , ,� „ {t 0 1 D 0 Service Type <br /> 1 r�'.f lN�'�+1511.1 l� m <br /> � ❑ Registered ❑ Certified <br /> th th 4 2 1 ��Yd� ❑ Express Mail ❑ Insured .� <br /> U 1 E <br /> --1 ❑ Return Receipt for Merchandise ❑ COD <br /> a �i)() 1 Sa t� 7. Date of Deliverry <br /> 5.Received By:(Print Name) S.Addressee's Address(Only it requested <br /> to and fee is paid) i <br /> g 6.Signatu :(A(1 res�seslor g nq <br /> r <br /> T X 4✓_ <br /> 0 V?� <br /> as Form 3811, Decembe(1994 Domestic Return Receipt <br />