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<br />;; SENDER: <br />V • Complete items f and/or 71or atltlilional services <br />N • Complete items 3, 4a, antl 4b. <br />N • Print your name antl address on the rever5¢ of Ihis form so Thal we can return This <br />cartl to you. <br />~ • Attach Ihis form to the Iron) of the mailpiece, or on the back it spae¢ does not <br />d Permit. <br />~ • Wnte 'Rerum Receip! Requesled'on the mailpiece below the enicle number. <br />L • The Relum RBC¢ipt will show tp whom Ih0 dniCle was tlelneretl antl :he da10 <br />deliveretl. <br />`0 3. Article Addressed to: 4a. Articl Numbi <br />v /~ <br />~rG?rF dyCLldr <br />d ~c2 ~ lOt/~t~y <br />a / ,,y b. Service Type <br />~ ~QYI ~~/` ~ U ny-y Cfv~!/ n llu'i~ ^ Registered <br />/1 1~ ~{ l1 ^ Expres~AM1ail. <br />G. L~ y ~ ~ ~ ~ C /' a ^ RelMc PeCe~ ~f <br />V u / <br />5. Received By: (Print Name) r n 8. ss A <br />~_, .~.i~. .. ~ - d i <br />6. Signature: (Addressee or AgenQ ~y p <br />r X .:,~t r ~_ <br />!" PS Fonn 3811, December 1994 lo2ssrse~e-0zze DDI <br /> <br />I also wish to receive the <br />following services (loran <br />extra fee): <br /> <br />1. ^ Addressee's Address U <br />• <br /> <br />2. ^ Restricted Delivery ~ <br />i <br /> n <br />Consult postmaster for lee. n <br />x <br />e <br />Certified <br />^ Insuretl ~ <br />ise ^ COD ~ <br />f <br />0 <br />requested s <br />i= <br />Return Receipt <br />