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III IIIIIIilllllll <br />999 <br />~ SENDER: <br />• Complete narrn 1 srM/or 21or etldlUonal wMws. <br />~ • Complete sterns 3, 4e, enE ab. <br />4 • Prim your name anE aEtlresa on Vre reverse of We lomi w that we can return ihb <br />Ci CaN Ie yW. <br />• Attadt this form to Na horn M tlta mailpiece, a on Ne beck H apace Coea not <br />pamat. <br />a write 'Return Fecelpt Requesred•on the meliprece below me eRble number. <br />• The Rehm Receipt w~9 show b whom fire aNGe was Eelivere0 antl Ne date <br />tleliveretl. <br />3. Article Addressed to: V~~~ <br />8 ~ K/~ t r t <br />n <br />~~~~zy CC ~~ <br />5. ~RI9ceiv_ed\By: (PfdYnt~Name) <br />~/~~(~o It tvl rYi Yt1 <br />6. Signature: (Addressee rAgenl) <br />~ PS Form 3811 t December 1994 <br /> <br />r <br />~ DM6•t3t3 SI <br /> <br />Q' Postage <br /> <br />~ Gertifetl Fes <br />O <br /> Return Receipt Fee <br />~ (Entlorsement Repwreal <br />O ReatnCtatl Delivery Fee <br />O (Entlorsement Requvetl) <br />O Total Postage a Fsea <br />f~ <br />.II ' ' is Name t <br />ri ~ ~ <br />o u-.....-. . <br />O .State, Z!P <br />N <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ^ Addressee's Address <br />2. ~ Restricted Delivery <br />ConsWt postmaster for fee. <br />+v..aorvmo ~ 1Y~ <br />^ Registered ^ Certlfred <br />^ Express Mail ^ Insured <br />^ ReNm Receipt fa Merchandise ^ COD <br />and fee is paid) <br />10259596-8-0229 <br />NI <br />L~I <br /> <br /> <br />