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v "~+ <br />SENDER: <br />• Complete items 1 antlior 21or atltlilional services. <br />is ~ Complete items 3. 4a, antl 4b. <br />O~ ~ Print your name antl address on the reverse of Ihis lone so that we can return this <br />cartl to you. <br />~ • Adach Ihis form to the Iron) of the mailpiece, or on the back it space does not <br />` permit <br />~ y Write "Remm Receipt Requesred'on the mailpiece below the article number. <br />c • The Reurn Receipt will show to whom the amde was delivered antl the dale <br />tleliveretl. <br />0 3. Adicle Addressed to: 4 dicle <br />u ~~ <br />9 <br />^ Cedilied ¢° <br />^ Insured °I <br />c <br />^ COD ~ <br />$ ~~ ~ ~ ~ ~ 4D. Service Type <br />0 2~ i ~', Ur C.~n ~~a~._, ^ Registered <br />v <br />n ^ Express Mail <br />_ _ / ' U ~ /~ ~~ ^ Return Receipt far Merchandise <br />L~U Jq l 7. Dale of Delivep <br />5. Received By: (Print Name) 8. Addressee's Ad <br />and lee is yard) <br />6. Si al e: (Ad r ssee or n <br />0 <br />T <br />Y PS Form 3811 ecember 1994 laeses~eeaaaze DOfT <br />ri <br />O ~ ~~ <br />T <br />P 436 X81 913 ~ r, <br />Q US Postal service n <br />V Recei t for Certified Mail ,yy~,,`„- <br />No InsuraPrtce Coverage Provided. T' ` <br />c <br />v <br />N <br />E <br />CC <br />c~ <br />E <br />a`~ <br />N <br />~ ~ <br />C7 = <br />T ~ <br />~r~ Q <br />V O <br />Q ~ <br />0 <br />LL <br />to <br />a <br /> <br />Do not use for Intematlonal Mail See revs e <br />~oF'~t ~ orn m.r:ssr <br />2 Z Number ) y L7 I , \Q <br />V~J <br />t Olfirs, te, 8 ZIP Cade <br />r <br />Postage ~,~ ~ L, _ <br />e <br />cadi~ed ~ ~ <br />spedaf D P4 ~ lye ~ <br />Rasidded Deh FeeU$ ~ <br />Retum Receipt Showing to <br />Whorrl d Date Delivered <br />Realm Fleuip SMeiq toV/mn, <br />Dale, 6 Mhesee's Mtess <br />TO7AL Postage 8 Fees a <br />n <br />_ <br />Posmrlerk or Dale <br />I also wish to receive the <br />following services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address u <br />~ <br />2. ^ Restricted Delivery y <br /> <br />Consult postmaster for fee. e <br />4 <br />d <br /> <br />~2-z7 0 <br />(Only if requested >< <br />c <br />m <br />t <br />~~~ <br />