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m SENDER: <br />V • Complete items 1 ens/or 2 (ar aeeitianel services. <br />ss • Complete items 3, end 4e 8 b. <br />q • Print your name end atltlress an the revena of this form sp that we can <br />O return thin card to yau. <br />> Attach this )arm to the Iront of the mailpiece, ar on the back if space <br />m does net permit. <br />.t0. • Write"Return Receipt Requested"on the mailpiece below [he ertitle numbs <br />• Tha Return Receipt will show [o whom the ertitle was delivered end the dat <br />~ delvered. _ <br />a 3. Article Addressed to: 4a. Al <br />m <br />e - L dNE qND NnN <br />I also wish to receive the <br />following services Ifor an extra <br />feel: '> <br />i. ^ Addressee's Address N <br />2. ^ Restricted Delivery •m <br />nsult postmaster for fee. m <br />E CY NA Pp rc qb. Service Type <br />0 `J ~('lO 4leN /{LLey ^ Registered ^ Insures <br />v <br />rn ` ~ V. Bok IloO ®Certified ^ COD <br />W ~'1 ^ Express Mail ^ Return <br />~ C7£oR46TnWN CA 953`/ Mercha <br />p 7. Date slivery <br />Q <br />2 ~r <br />5. Signature 1 dresses) l 8. Add s5ee's Address (Onll <br />~ and fee is paid) <br />W <br />°r 6. Signature IAgentl <br />0 <br />a PS Form 3811, December 1991 4 U.a.G.P.0.:1992-3a7-Sa0 DOMESTIC RETURN RECEIPT <br />o- <br /> <br />L <br />P ' 179 1~C765~_ <br />Rec~q~ f~Kl'o48- - <br />~~ CertfPfi•,ed <br />j ~~a No Insurance Coverage Provided <br />,p oylLLy~ Do not use for International Mail <br />(See Reverse) <br /> 9=ni io <br /> PPl <br />6N6 <br /> I~ /~ J <br />Si~ee~ and Np r Io F,oN AeLEy <br /> o c <br /> P D ~~a,e and ZAP Cppe <br /> m o <br /> vpsiage <br /> Len A~etl ree <br /> SpeC~a~ Daliw~y Fet` <br /> 9esinned De ee <br /> aewm h v~ng <br /> io wn ai= ed ~Ix, <br /> r+oiuin ec wn nA <br /> Dare. tl n lessee' s! ^ <br />rornt asia E <br />n F..: <br />Pos~mark c, naleF ~~ ` <br />J <br />A <br /> <br />c <br />K <br />~ ~ <br />c <br />:ei~t for ~ <br />se+. S <br />.- <br />7 <br />0 <br />T <br />requested Y <br />c <br />Q <br />L <br />F <br />