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<br /> <br />~~;'•iV~~ Cir~IG~ <br />~t~ ~: a1-~S-cos <br />SI~'~: belts P~v,~Ga,,,cl PA <br />w SENDER: ~ I also wish to receive the <br /> • Complete items iantl/or 2lor atldi~ional servrees t011owin Services tot an <br />g ( <br />m <br />4+ • Complete items 3, 9a, and 4b. <br />• Print your name antl atltlress on the reverse pl Ihis loan so that we can return This extra lee): <br /> <br />~ cartl ~o you <br />. Atach phis loan to the IroN of the mailpiece, or on the back d space Ooes not <br />1. ^ Addressee's Address w <br />~~ <br />y perms <br />• Wme 'Return Receipt geques(etl'on the mailpiece below ine amcie number 2. ^ Restricted Delive <br />rY N <br />~ <br />y • The Return Receipt will show to whom the article was delrveretl ano Ise tlaie COnSUt ostmaster for fee. <br />P <br />n <br /> tlelivered. <br />0 3. Article Atldressed to: 4a. Article Number u <br />~° <br />l <br />rd E ~~ f <br />~ <br />F <br />R~ C. c <br />' <br />~ ¢ <br />. <br />~a <br />.~ <br />c. <br />r~c~ <br />- <br />a 4b. Service Type <br /> <br /> <br />E <br />o <br />G~ ~ ~ <br />~' <br />I J L <br /> <br />^ Re istered <br />9 <br /> <br /> <br />enihed <br />~ <br /> <br />¢ <br />u <br />^ Express Mail <br />^ Insured <br />~ <br /> <br />w <br />~~ Q ( ~/ ~~~ <br />~ReNrn Rece~pl for Perchandise <br />^ COD y <br />~ . <br /> <br />0 7. Dale of Delivery ~, <br />a - ~ <br />0 <br />¢ 5. Received By: (Print Name) 8. Addressee's Address (Only !requested x <br />F and lee is paid) ~ <br /> <br />¢ 6. Signature: (Addressee or Agent) ~' ' <br />'o <br />T X ~-- <br />f <br />"- Rs Form 3811, Decembei 7994 ~ ~0259598B0229 Domestic Return Receipt <br />;; SENDER: <br />L • Complete items I anNor 21or atltli~ional services I also wish to receive the <br />x • Complete items 3, Ga, and 4b. t0110Wing eervlCee (tot an <br />W • Print your name antl atltlress on the reverse of Ihis loan so Thal we can return this extra lee): <br />cartl to you. <br />~ • Attach this brm io the Iron) of the mailpiece, or on Ise back it space tloes not <br />1. ^ Addressee's Address y <br />~ <br />m Perms <br />. Write Weturn Rece/pt Requesretl'on the mailpiece below the an~cie number. <br />2~ ^ Restricted Delivery ~ <br />N <br />• The Reurn Receipt will show to whom Ise article was de <br />tleiwereo. irvered antl the tlaie <br />Consult postmaster for fee <br />n <br />0 3. Article Adtlressed [o: . <br />4a. Article Number u <br />~~ y £ (,uc~CLr ~cnJc <br /> <br />~ `? ~ <br /> <br />4 ¢ <br />~ <br />a b. Service Type _ <br />~ <br />I (~3 <br />~ ^ Registered Certified d <br /> A <br /> <br />Q/ ( <br />/ <br />~ Q (~ 1 ~ 1 g ^ Express Mail ^ Insured <br /> <br />Return Receipt for Merchandise ^ COD O1 <br />c <br />~ <br /> . <br />, <br /> J 7. Dale of Delivery <br /> _ ~ <br />o <br />¢ 5. Received By: (Pant Name) 6 Atldr ssee's Ad ress (Only d requested m <br />r- <br />w and tee ~s paid) ~ <br />m <br /> <br />¢ <br />6. Sig slurs: (Atldr ssee or ge t) r <br />t- <br />~ X <br />T <br />" Rs Ro 811, December 1994 ,az59seaB0229 Domestic Return Receipt <br />