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<br /> <br />r~~E3L8G ~i~~ ~©~~ <br />~!L~: -98- os ~ l <br />~~ a Fem. DG~~ PQ1/i~ G~7 VC~ P I <br />v SENDEfl: I also wish to recewe the <br /> <br />'!1 +Complete Gems land/or 2 for addroonal serves <br />• Complete items 3. 4a. and 4b (ollOwln Services for an <br />g I ' <br />d <br />~ + Print your name and adtlress on Ih¢ reverse of Ihis tOrm so Iha l we can return Ihis extra fee): <br /> <br />m card to ou <br />+Anach th s loan to the trout of the madplece. or on the back .I space does not <br />1. ^ Addressee's Addre55 ~ <br />~ <br />N + Wn a I'ReNrn Rece,pf Repuesletl'on the ma,lp,ece below lne amde number. 2. ^ ReSVICted DBiivery (A <br /> • The Return Receipt will Show 10 whom the ankle was deliv¢retl and the dale <br />delvered <br />Consult postmaster for tee. <br />fi <br />0 <br />a <br />d 3. Article Addressed to: <br />ru~SixS <br />~ <br />4card of 4a. Article Number <br />3 ZZ u <br /> <br /> <br />~. <br />¢' <br />E . <br />~ <br />~~~ ~It L~~I)~i."Its ~I SI <br />I~C <br />T 4b. Service Type <br />^ R <br />t <br />red ~Certihed <br />i ~, <br />~ <br />u . eg <br />s <br />e <br /> f llo ~,.1 u5lr ~ W ~~~r <br />U77__~~ <br />lLb ^Express Mail ^ Insured ~ , <br />w 11 <br />~+ `{~Relurn Receipt for Merchandise ^ COD ~ I <br /> ~ <br />~Q C~ ~~ `f'~ ~ Dat of Defve <br />7 o <br />o l ry <br />. <br /> i6 0 <br /> 5. Received By: (Print Namel 8. ddressee's Address (Only i) requested s <br /> ~ and !ee is paid) <br /> ~ ~ <br /> 6, gn~tur_e. ddr se$ ntJ <br />o ..~i-•---- ~L <br />T <br />-' <br />PS Form $811, Decem er 7994 <br />102595 9a-80229 Domestic Return Receipt <br />j <br />" SENDER: <br /> •Complete Items 7 ends 21or eddilionel eeMCee. I elso WISh t0 reCelVe the <br />» • Complete items 3, Ia, er10 4b. }OIIOWIng SBNICBS (tqr an <br />m •PriM your name and address an the reverse o/this form eo Ihat wa can velum Nis extra fee <br />~ <br /> <br />j card to ycu. <br />+Mach Nia lortn to the hoM of the mallpiece, or on Iha beck <br />x <br />ul <br />it apace does net <br />t, ^ Addre55ee 5 Addre55 ai <br />~ <br />~ <br /> <br />p I <br />m <br />. <br />•Wdte'Rerum ReOai f R pi <br />p equested' on the mail ace below th <br /> <br />e article member. <br />2. ^ RBS[flCled DBIiVery <br />y <br /> +The Ratum Aeceipl will show to whom the anitle was delivered and the date <br />` delivered. Consult Rostmaster for tee. m <br />o <br />~ <br />a 3. Article Addressed to: <br />rCl 0~ C~rnrni SS~cnerS <br />3o~ 4a. Article Number <br />~ ~ m <br />`~ <br />e <br />E <br />o . <br /> <br />~n <br />~ <br />Cot 4b. Service Type <br /> <br />^ R <br />i <br />t <br />d .'. <br />m <br /> - <br />, <br />~ eg <br />s <br />ere <br />[Certified ~ <br />w ,/~ 1 /1~ ~ <br />S,}.~ep-r <br />111 (' ~I~ ~'~}KK~JJJ l~ ^Express Mail b Insured N <br /> ~Retum Receipt for Merchandise ^ COD ° <br />o ~ ~ IQ- C ~ ~ I ~ ~ ~ 7. Dat of Delivery <br /> 0 <br />2 a <br /> <br />~ 5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~ <br /> and /ee is paid) <br />r <br />g 6. Sign (Ad ssee or Agen ~ <br />T <br />W <br />'~ <br /> PS Fo 3811, December ~ 4 102595~9]~B 01]9 Domestic Return Receipt <br />