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d SENDER: I also wish to receive the <br />a <br />~~+ .Complete items 1 anNOr 2 for atltlibonal services. <br />• Complete items 3, 4a, antl 4b. following services (for an <br />d • Pnni your name antl atltlress on the reverse of this loan so that we can return Ihis extra lee): <br />~ <br />m <br />' cartl to you. <br />• Attach Ihis form to the front of the mailpiece. or on the back,l <br />space tloes not <br />1. ^ Addressee's Address u <br /> <br />u <br />w permit. <br />• Write 'Hefum Receipt Fequestetl'on the matlpiece below the article number. 2. ^ Restricted Delive <br />ry W <br />~ .The Reurn Receipt will show to whom the ankle was tlehveretl antl the tlate <br />tleliveretl. Consult postmaster for fee. n <br />0 3. Article Addressed to: /~ 4a. Article u1mb/er v ~/ <br /> <br />e. <br />o II <br />~ <br />~ ~ ~ ~ <br />~ ~ 4b. Service Type ~ <br />d ~Gertlfied <br />^ R <br />t ~ <br /> 13 <br />} <br />Y ere <br />egis <br />u <br />~/V~ ,,, ('~,' a <br />/ <br />~ <br />r / <br />^ Express Mail ^ Insured pr <br />~ <br /> \ <br />\. ~) a V W- <br />( ^ Return Receipt for Merchandise ^ COD ~ <br />o V lJ 7. Date of peGvery <br />~ <br /> .iJ•• J ,7 [.. <br />. ~ <br /> 0 <br /> <br />5. Received By. (Print Name) <br />6. Atldressee's Address (Only it requested T <br />x <br /> and lee is paid) ~ <br /> L <br /> 6. Si ature: (Ad ass orA IJ ~ <br />T ( <br />!' PSIFo 3811, December 1994 102595-98~B~0229 Domestic Return Receipt <br /> <br /> P 436 785 348 S <br /> ~ <br />N US Postal Service-- <br />~ Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br />0 Do not use for International Mail See rev s <br />U Sam to s <br /> A <br />C Slrael8 Numee ~ / <br />Y ~ <br /> (O <br />` <br />0 P m, State, 8 ZI Cade r'~ i <br />~ <br />r Patilage S <br />N <br />Certiged Fee GE ~ <br />V~. <br />N <br />E <br />Q r <br />SnedN f1Mir !' r <br />~ <br />A n <br />TOTAL Postage 8 Fees I a ~ `.'(~ <br />x or uate <br />