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o SENDER: <br />v . Conwida nano t e~or 2 for addltmnd aervlcee. <br />4 • Complete'itenx 3. ~a, and b. <br />~ 1 also wish to receive the <br />followin services ror an <br />9 ( <br /> <br />' <br />q • Pnnt yuu~name and edtlreae on the reveres al Cys brm W Ihaf we can return iota <br />L' caM to you <br />• <br />At <br />l <br />a <br />c <br />n <br />Nn form b Ne front W Ma mallplew, Or on the Eeck M space does not B%tfa fBB): <br /> <br />~1. ^ AddrBSSBB'6 AddrB55 <br />8 <br />p <br />a <br />~ <br />n <br />~ <br />~ <br />. Wrila ~, return Necerpt Requested' on the ma~lp~ace Inbw the artlde nurti6er. 2. ^ ReStriCted Delivery <br />~ . ma Ramm Receipt will snow m venom me erode wee delivered end the dam <br />5 aeiiveree. <br />Consult postmaster for fee. <br />$ <br />~p~~ <br />r <br />p <br />-k Cc~1 C <br />o <br />z <br />~C~~r di-cr '~.t ~ x{13 c( h~`J~l 1 X8,3 ~ <br />__ <br />il <br />' <br />I <br />' <br />/~ O s,rGt-~ ~Cl-t'uc_ <br />UL©"~ <br />` 46. Service Type ~ <br />~l_ <br />~-- <br />/ Un -~-n <br />y0 v ` , <br />" <br />U <br />~ ~ f <br />' ` ' ~~ ^ Registered ^ Certified <br />ll ^ I <br />M <br />d <br />^ E y~ <br />~ <br />, <br />1 <br />- <br />. <br />- xpress <br />nsure <br />a <br />~CO `~Y ~d ~a~ ^ Return Receipt for Merchandise ^ COD ~ <br /> 7 <br />D <br />t <br />f D <br />li <br /> <br />~ Je,r CrJ ~ aoa- . <br />a <br />e o <br />e <br />vgry ~ n I~ <br />`~ 7 <br />5. Received By: (Pdnt Name) 8. Addressee's Address (Only if requested y <br /> and fee is paid) <br />8. Signatu dd nt) <br /> <br />s PS Form 3 11, December is tozsssl~a-o~v Domestic Return Receipt <br />+- ~ <br />C ~ <br />0 Z 434' 941 r/~~3~~ <br />~s Postal setv~e <br />F'~ceipt for Certffied~fA~ <br />GiJO Insurance Coverage Provided. <br />I fda I S <br /> o not use far Inletna one i ee reverse <br /> n r r o <br /> L <br />C^ Stmd 8 NumberL'r D ~uY <br /> <br />p t afire, stare, a z~ Y <br />.~ <br />• 'Postage $ <br /> Certified Fee <br />V Spedd Delivery Fee <br /> Restnded Delivery Fae <br />e~' Rdum Receipt Showurg to <br />l0 Whom A Date Delivered <br />c ReMn Peceipl Showrg NtWnom, <br /> Date, 6 Mdessee's Addass <br /> TOTAL Postage d Fees $ <br /> Poslmadc ar Dale <br />N <br />a <br />