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n. I <br />m SENDER: <br />v <br />q • Compete items t entllor 2 for atltlrtional services. <br />I also wish to receive the <br />m Complete .rams 3. and as a b. following services (for an extra ai <br />~ • print your name and adtlress on the .averse o1 this loan so th at we can fee); '> <br />m return this cartl to you, <br />a~j • Attach this loan to the from of the mailpiece, or on the back <br />~1 space <br />1. ^ Addressee's Address <br />y <br />i tlpes nor perms. <br />N • Wrde "Return Receipt Requested the madpiace below the er <br />..ief'. <br />ucle number. <br /> <br />2. ^ RestricCed Delivery <br />41 <br />• <br /> <br />• The Return Receipt will show to ~drf the article was deliveretl entl the date <br />~ deitvered. <br /> <br />Consult postmaster far fee. m <br />,~ i <br />m <br />~ 3. Article Addressetl to: Arti a Nu b <br />~~1([~T[~~~(c~ ~ <br />~ <br />C',+ev~~~a~s m <br />. <br />~ 4b. Service Type <br />^ Registered ^ Insured <br />y <br />w )~i, ~y / ~ Y R ~UP <br />1 l 1' Il i` t C 'Certified ^ COD <br />il ^ Return Receipt for <br />^ <br />M 5 <br />~ <br /> ~ <br />~ <br />t <br />~.y i~/1 I ~n~~~ <br />- <br />- Express <br />a <br />Merchandise <br />C <br />0 t <br />~ <br />~(` <br />/`I ~ <br />/ <br />j `l <br />f " 1 ` t l ~~ 7. Date of Delivery w <br />~ <br />Q Rr T <br />2 5. Sign u A esseel " `- <br />8. Addressee's dr ss (Only it requested ~r <br /> and fee is paid) ~ <br />r s <br />~ 6. Signature IAgentl ~ '~ <br />H PS Form 3 11, DEcember 1991 dU.S.GPO:tiY2ti'l21/01 DOMESTIC RETURN RECEIPT <br />j <br />