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a SENDER: I also wish to receive the <br />V <br />H • Complete items l anNOr 21or atloiuonal services. <br />• Complete items 3. 4a, and 4b fOIOWIn eervine5 10f an <br />9 <br />d <br />H • Print your name and address on the reverse of Ihis tone so Ihai we can return Ines a%lfa lee): <br /> <br />N card to ou <br />• Attach Ihis form to the Iron) of the mailpiece <br />or on the back it space <br />tloes not <br />1. ^ Addressee's Address ~ <br /> <br />~ <br />N , <br />e <br />• Write l'Relum Receipt Repuesretl' on the mailpiece below the ad~cie number. <br />2. ^ RCSIrICIed Delivery <br />y <br /> <br />5 .The Return Receipt will show to wham fhe adKle was delivered and <br />delivered. Iha tlale <br />Consult postmaster For lee. <br />n <br />0 3. Ankle Addressed to: 4a. Article Number - v <br />~ <br />w S1~y, Err~sTlw h <br />~ '785 33 , <br />u ~ <br />~ u.A,~xy. 4b. Service Type ` <br />~ <br />°u • •y~~,,, <br />t ~ ~ q Q J <br />S*. Jtr. ~ ^ RegisteredCertified p~ <br /> nn ~~ <br />~~U-elti ~ <br />-o ~a33 O Express Mail ^ Insured ~ <br /> , <br />- <br />At?;,~y ^ Return Receipt for Merchandise ^ COD ~ <br /> >> ~ ~ ar .Date of Delivery <br /> \\ <br />~, ~ <br />i <br /> <br />5. Received By: (Print Name) ~ ~> ~ %-' <br />. <br />Addressee's Address (Only i! requested . <br />>< <br /> y ~ and lee is paid) m <br /> L <br /> 6. Signature: (Addressee or Agent) O '~ <br /> <br /> <br />~_K~ <br />UJ~~_ a <br />X G <br />F- <br />r t <br />u PS Form 3811, December 7994 102595-98 B-0229 Domestic Return Receipt <br />o P 436 785 337 <br />O US Postal Service ~! <br />cO Receipt for Certified Ma'L~ <br />Q No Insurance Coverage Provided, f <br />U Do not use fo In m ~on Mail See ve <br />IC <br />0 <br />Sri <br />T <br />N <br />E <br />~C <br />N <br />cEyt~^; <br />~+ <br />VZ <br />~_ <br />a <br />nt to S <br />C t'Iw <br />Street a Number <br />o -„~sr. <br />sk <br />-~ <br />pose orfirs, su . a 1P code <br />P a~ <br />postage pEN ~3 <br />CeniOed F 8 ~ CO <br />$padal D ~ Fee 8 <br />N <br />Restdded <br />Retum Receipt ~ 2S <br />When 8 Date DeGVere <br />Realm Rxeryl 3vmilg to yawn, <br />bate, a Addressee's Addessss <br />TOTAL Postage a Fees $ a-g$ <br />Posbnark or Date <br /> <br />