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<br />d SENDER: I also wish to receive the <br />V <br />u •COmplele items 1 anNOr 21or atltlilional services. felOWlO Services ter an <br />g ( <br />r • Complete hems 3, 4a, antl 4b. <br />d • Pnnl your name antl atldress on the reverse of Ihis loan so chat we ran return Ines extra lee): <br /> <br />m card to you. <br />• Ana<h this loan to the Iron) of the mailpiece, or on the back it space does not <br />1. ^ Addressee's Address N <br /> <br />Z <br /> permit. <br />• Wnle 'Rerum Rererpl Requested'on the malp~ece below the atlide number. 2. ^ Restricted Delivery rn <br />d • The Return Receipt will show to whom the aside was tleeveretl antl the tlate <br />Consult postmaster for tee. <br />c <br /> aelrvered. <br />0 <br />v 3. Article Addressed to; <br />~onv~ <br />~e <br />~ /3v ~s 4a. Article Number <br />~ (o S-5' <br />33~ v <br />d . <br />-. <br /> <br />a <br />C (}(y~!}-~ C~ _. N~ <br />4b. Service Type - <br /> <br />~~ <br />~ <br />~ ~~.oO.S Sp, 1 ~I~G-~ ^ Registered ertitied <br /> y_ ~ ~,,__~I) / <br />~ O ~c~~-~:, <br />~U " ^ Express Mail <br />^ R <br />h <br />R <br />i <br />t f <br />M <br />di ^ Insured <br />^ COD c <br />~ <br /> '~ erc <br />eturn <br />ece <br />p <br />or <br />an <br />se <br /> 7 Date of Delivery `o <br />r X .GJG <br />`-' PS Form 811, <br />0 <br />8: Addressee's Address (Only i! requested Y <br />and lee is paid) m <br />0229 <br /> <br />o P 436 785 338 <br />N <br />O US Postal Service ~~' <br />- Hecelp>c for certified Ma <br />~ No Insurance Coverage Provided. <br />V Do not use for International Mail See <br /> to ~~ <br /> ~ l <br />C Sirs 8 Numper C <br />~ <br />Q 3 6S .Tel -a <br /> <br />Sri asi OXim, Steta, 8 ZIP <br />A-1 cbod 86,23,s- <br />f- <br />N <br />Postage <br />~ Certified Fee ~:3YE . C <br /> Spedal Deli a `e o <br /> N <br />E R m <br /> estricted IOB Fee <br />~' <br />(/= Return Recei to <br />Whom 8 Date v 0 <br />Q 2-S <br />(~ Rlwm Rxeiq <br />r( Date, 8 Mdessees Merest <br /> TOTAL Postage 8 Fees a d -q 8 <br /> Posbnerx or Date <br /> <br />a <br />cp` <br />~~ <br />c <br />