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1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />• P 006 SU3 907 • <br />e, <br />W <br />m <br />c <br />O <br />O <br />lD <br />E <br />0 <br />u! <br />a <br />Receipt for <br />Certified Mail <br />No Insurance Coverage Provided <br />,a~. y.,•r Do net use for International Mail <br />ISen Raversel <br />Sam II <br /> <br />si,e~ ~tl hn \ <br />J ~ <br />~ <br />: <br />v . <br />J. <br />tl <br />.J <br />r• u . so m nna ~ coon <br />LHNA, <br />o oS <br />~ 5:~3 ~' <br />Dnmuaa Fee ~ ~ ~ <br />sucuai Dci~.ay Poe <br />Resh¢~etl Dolrvery Feo <br />gamrn goceie~ Snuwinp <br />tp Whom 6 Ddle Dehvaratl - / <br />Raiurn Receipt Shos•Inp 4 Whorn, <br />Date. entl Adaresaea's Admess ' <br />iOrnL rgs,ape ~ <br />6 F <br />1 ,F /t <br />- <br />aes <br />1 V <br />Pe51mar4 or Rate <br />r <br />1 <br />v SENDER: <br />q • Complete items 1 end/or Z for additional services. <br />^ <br />I also wish to receive the <br /> rD ComO~em items 7, end 4a 8 b. follOWing SerVIGeS Ifor an extra m <br />G <br /> ~ • Print your name and edtlress on the reverse of this lorm so [hat wo can <br />teal. ` <br />' 9 return this cartl to you. <br />` • Attach this Corm to the Irons al the meilpiace, or an the back it space 1. ^ Addressee's Address <br />does not permit. M <br /> il <br />the <br />~ • W <br />t <br />R <br />i <br />R <br />t <br />d" <br />h <br />b <br />l <br />"R nc <br />l <br />n <br />mb G <br /> urn <br />rite <br />e <br />ece <br />a nes <br />e <br />on t <br />e ma <br />lace <br />e <br />ow <br />a <br />~ <br />a <br />u <br />er. <br />t <br />p a p 2. ^ Restricted Delivery <br />m <br /> • The Return Receipt will show to whom the article was delivered <br />o daiiverea. end the date <br />Consult ostmaster for lee. m <br />t v 3. Article Addressed lo: <br />m 4a. Article Number <br />po6 03 0 <br /> O J,nI~ <br />C <br />l~r r^ <br />a Pco,,,~~ C 4b <br />i <br />T <br />S <br /> p <br />` <br />_ <br />o <br />E ` Arta P~Q.U+rt~'L~ ce <br />ype <br />. <br />erv <br />^ Registered ^ Insured ~ <br /> <br />' <br />v <br />y \ <br />N CW~~j "`~' \ O ~ ~~ <br />w <br /> <br />~Certilied ^ COD <br />Return Recei t for <br />^ Express Mail ^ P rn <br /> <br /> <br />~ <br /> ¢ <br />~ L(~~( ~ CO ([I O S ~ Merchandise <br />7. Dale of Deliver G <br />'~ <br /> <br /> ~ 5. Si atu a (Addressee) B. Addr sae's Address ( ly if requested Y <br /> F ~~ and fee is paid) _ <br />m <br /> ¢ 6. Signature (Agent) ~ <br />' m PS Form 3811, December tggt eu.s.cvo:tepraszata DOMESTIC RETURN RECEIPT <br /> <br />1 <br />1 <br />t <br /> <br />