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d SENDER: I also wish to receive the <br />V <br />b • Complete items 1 and/oi 2 for atldibonal services <br />• Complete items 7. 4a, antl 4b following services (for an <br />d • Print your name and address on the reverse of This form so Thal we cae remm this extra fee): <br />~ <br />m cartl to you <br />• AtlaM this Iwm to the Irom of the mail0~ece, or on the back it space does not <br />1. ^ Addressee's Address y <br /> permit. <br />• Wnte "Hefurn Recerpr Requested"on the maitpiece below me an¢l <br />e number 2. ^ gestricted Detive <br />ry d <br />W <br />~ <br />y • The Return Rece~pl will Show to whom the anmle was deliveretl an0 the tlale <br />deliveretl Consult ostmaster for tee. <br />P <br />ii <br />0 3. Article Addressed to: 4a. Article Number ~ <br /> ~ <br />d <br />l <br />~ <br />-~ 4 3 ~ 7 ~'S <br /> ~ <br />e <br />-e <br />->` <br />t <br />~- <br />d <br />a <br />J 3 ~ D , ! ' 1n n +L / / / <br />/ NJ <br />VI~- tt' r0 ` <br />" <br />4b. Service Type ~_ <br />~ <br />o ~ <br />~ <br />n <br />(~ ~b3!-~?331 ^ Registered 1'1~Cenilied <br /> ^ Express Mall ^ Insured ~ <br /> ^ Return Receipt for Merchandise ^ COD ~ <br /> 7. Date of Delivery <br /> O <br /> 5. Received By: (Prior Name) 6. Addressee's Adtlress /Only it requested Y <br /> antl lee is paid) n <br /> L <br /> 6. Signature (Addressee or Agent) ~ <br />'o <br />T )( <br />°' PS Form 3811, December 7994 102595-98-90229 Domestic Return Receipt <br /> <br />'11 C~ <br />o P 436 785 342 ~ }2R5 <br />N - ~ ' <br />p US Postal ServiCaf ' l - <br />CJD Receipt for Certified Ma~3 <br />Q No insurance Coverage Provided, .~ <br />U Do not usw for Inlamatinnal AAail /Rww r <br />j nl tO~II ^ n <br />JCa <br />P <br />6-~ <br /> F? <br />,rt <br />,y~ s <br />~ tmeta 6 ~ ~` <br /> o <br />~ P ~ Ica, te, a IP coos 63/ <br /> <br />rri - <br />N Poslaga <br />~ Certified Fe fL~ ~ G <br /> <br /> <br /> Spedel Fea D <br />(J <br /> <br /> <br />~N Restdaed liv ~ <br /> Retum Receip to <br />Wh <br />D 04 ~ <br />•~ <br />~_ omB <br />ete De <br />Lh° ReWm RSepl SltoeigmN7cm, <br />....Q Date, 6 Miassee's Atldrr_ss <br />O TOTAL Postage d Foes s' <br />~~ <br /> Or <br /> Postmark or Data <br /> <br />a <br />