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335 X58 <br />T RTIFIED MAIL <br />G ^O~ INS E CGVERAGE PNGVIGEo <br />7 OP INEENNAiIGNAI MAIL /1 <br />(See Reversal ~ J <br />4 <br /> li (O. <br /> <br />'^ heel ono NoC tLQ.N.f s~ ~ 55 <br />~ (~ <br />o P O. Stale and ZIP Gotle ~~ a-3 3 <br /> v GD <br />~ Postage S <br /> CenAied Fee <br /> Special Delwery Fee <br /> Restr¢led Delwery Fee <br />i-- <br /> Relw ceipr St;Owing,~ \ <br /> to w 17a a ergd ' <br />ut <br />rn <br />R ece~pt showing to r <br />- <br /> tl Atltlr¢ss of Delrve <br />C <br />~ <br />AL~~~ean F <br />5 <br />n <br />S P mark or Ddle <br /> USp`~ <br />N <br />n <br /> <br />~ .ENDER: <br />•Complga items 1 and/or 21or additional eervicee. I eISO Wieh to redeiVe the <br />+ •COmpl'ete items a, oa, and ab. following services (for an <br />~ •PnM your name and address on the nvene of This form ao Nal we can return this Blare t9e~: <br />card to you, <br />~ .Attach this brm to the Nord of the mailpiece, or on the back if space does not ~ , ^ Addfe55e6's Address <br />~ permit. <br />~ •Wdte'Retum Receip(Requested'onlM meilpieca bebw the enicle numbac 2.^ Restdcted Delivery <br />iJ •The Relum Receipt will snow to whom the edida was delivered and the date <br />~ delivered. Consult posbnaster for fee. <br />0 <br />3. rficle Addressed to: 4e. Article Number <br />~?~E r«~ `~ ~~~I tiT <br />E - / 7 4b. Service Type <br />~i (~`~~~ 1,~~~/~G ~ ~.L ~C~( ^ Aegisteretl 'Certified <br />I.~ ~ ~~ C ~~ `~n , t~~ i'~ ss Mail ^ Insured <br />II f ~ 1 ~4 Q j~ ipt (or Metdtandise ^ COD <br />Y llk-E2 ~ "" a" ~ ~ ~ rpate o ry <br />p ~t~,' m <br />5. Received By: (Print Name) ~ B. A dtlress (OMy i/requested <br />J an d) <br />~? <br />i <br />N <br />s <br />E <br />S <br />a <br />f <br />8 <br />0 <br />T <br />Y <br />i <br />PS Form 3811, December <br />