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o SENDER: <br />9 •COmplete items 1 era~« Z for additional ssrvices, <br />' 1 also wish to receive the <br />, <br />a .compete name 3, ae, era ab, following services (for an <br />e •Pdnl your name and address on Ure revere of Ihie loan so that we xmr relum this e%tl8180 <br />~ <br />i <br /> card to you. <br />.Mach Mie farm to the honl of the mailpisce, or on the back if space does not t. ~ Addressee's Adtlress e <br />-° <br />Z <br /> <br />p pemrit. <br />•Wdte'Retum Receipt Requeafed'on the mailpiepe below the article number. <br />Q, ~ ROStncted Dalivety ~ <br />rn <br /> <br />~ •Tha Relum Receipt will snow Ip whom are snide was de6vared and the date <br />tleltveretl. <br />Consult postrnaster fotfee. <br />°' <br />o <br />v 3. Article Addressed to: <br />~ 4a. Article Number <br /> c~ft`.-5 ~.,.~~tf:~.~ ~ ~~~ ss~ ~ 3 <br />E ~ bb. Service Type ~ <br />v L ~` C - <br />L U~~ ^ Registered Q)'Cerfified ~ <br /> , <br />~~ f ~j't '~ ~c~CJ <br />~~ ~~~ ^ Express Mail ^ Insured m <br />c <br />m <br /> `' ~ -,.- <br />1660 S <br />U <br />~ <br />~ Gi;RefumReceiptforMerchandis~ ^ COD ~ <br /> !" f _ <br />( <br />Q ,N i <br />I <br />~ 7. Oate of Derive <br /> y 3 ;. <br />~ 5. Received By: (Pdnr Neme) 8. Adtlrassee's Ad re s (Only it requested ~ <br /> and lee is paid) c <br /> <br />g 6. Signs re: ddresses rAgent) <br />~ X ~ <br />p <br />as Form 3811, 15ecember 1994 Domestic Return Receipt <br />o P 176 556 493 <br />o us Postal Service `S~'- ~ `~ <br />~ Receipt for fled Mail <br />~ No Insurance Cove deA. 111-7Y-ll <br />U Do not use for Intematlon>al Mail See reverse <br />m <br />> Slreel A unbar _ <br />"7 Pn~Lr <br />Q Pas? Office, A ZIP Cone ~ 5 ~- <br />~ Nt' r r~6O S <br />~- ''°~° .c S. <br />CV <br />6pedal Fee ' <br />C <br />N Res6ided CeGVpry ~. :~ <br />y <br />a~ m HetumlleoelKgpwnym <br />~ " Whom dDtNe OeMymd.. -. ~ ~ <br />~ $ Wte,k AdBeged~ildye¢ ~/ <br />Cr s TOTAL Pmlape 8 Fees s <br />rt~€ Posonark«f~a <br />t LL <br />~ a <br />