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d SENDER: I also wish to receive the <br />L <br />m • Complete items 1 anNor 21or atltlieonal services. <br />• Complete hems 9, 4a, and 40. following Services (for an <br />d <br />~' • Print your name ono adtlress on the reverse o! this form so mat we can velum this extra tee): <br /> <br />~ Dora ro you. <br />• Anach finis Corm to fine front of the mailpiece, or on the bacM it space <br />Ooes not <br />7. ^ Addressee's Address <br />~, <br />~ perms <br />• Write 'Kamm Receip! Requesre0'on the manplece below the aniGe number 2. ^ Restricted Delive <br />rY m <br />` .The Return Receipt will snow to whom the article was tleliveretl and me date <br />oeeveretl. COfISUt ostmaster for fee. <br />P _ <br />n <br />0 <br />d 3, Article Atldressed to: <br />1.9~- <br />^-~ <br />- <br />~r~ 4a. Anicl Number <br />~~ 3~ i"i <br /> <br />E , <br />. <br />- <br />G / <br />3 Q O S(~ <br />4b. Service Type <br />~ <br />° ' -" <br />~" i1 ^ Registered ~Cenifietl <br />u ~ <br />n i,. 1 Ja.VC~, 6 ~' ~ Q~~1~ <br />J ICJ aV I 1 ^ Express Mail ^ Insured <br />^ Return Receipt for Merchandise ^ COD ~ <br />~ <br /> 7. Dais Q~elrvery <br /> t', o <br /> 5. Received By: (Print Name) 8. Addressee's Atldress (Only it requested x <br /> i- . and fee is paid) c <br />w ~ <br /> <br />6.Sign dresses or Agenf) t- <br />'o X - <br />T <br />°_' <br />PS Form 3811, D mbe f 9g4 ' ~Oe5959a-B 0229 Domestic Return Receipt <br /> <br />P 436 .785 ?47 S' <br />N US Postal Service ~ <br />Receipt for Certified Mail <br />No Insurance Coverage Provided, l I <br />V Do not use for lntematrortal Mail See rev <br /> nt to - rr~ <br /> <br />c ~fy¢,(Q~ 1 <br />~ <br />8 <br />~ <br /> b <br />. <br /> P st olr state. a P code <br />r ~o a~6~1- <br />~ P tags <br />N <br />E C <br />centbd Fee ~ <br />~ Spedal Delivery F N <br /> <br />C <br />~II Restriaexl De6vmy r m <br /> <br /> <br /> <br />r Relum Receipt Stq v <br />Whan a Date Delivers <br />US - <br />' <br />,~, <br />,T( Rehm Raejp 9veiq loylAsin, <br />Ddte,a Mdiessee's AdBess _ <br /> lUTAL Postage a Fees $ a ~ 8 <br /> PoSYmarN or Dale <br /> <br />ti <br />