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1 <br />J <br />• <br /> <br />M1 <br />v ,tIVUGIS: <br />re Complete inure 1 end/or ]far edtlitionel eervicea. ~ I also wish to receive the 1 <br />i • Complete items 3, end Oe 6 b. fOIIOWing services Ifor en extra V , <br />p • Print your name and etldreee on the rereree of this form so the[ we can <br />0 <br />i }eel: <br />2 <br />return th <br />s card t0 y0u. <br />• Attach this forth to the turn[ of the mailpiscs, or on t he beck i/ eDeee 1. ^ Addressee's Address N <br />• tloas not permit. <br />t • Write"Return Receipt Requested"on the meilpiacs belo <br />' <br />w the article number. <br />2. ^ RBatrlCted D011very <br />6' <br />• <br />• The Return Rscaipt will show to whom the article was delivered end th•date O ' <br />o delivered. ~ ~ Consult ostmaster for fee. m ;~. <br />a 3. Article Addressed to: 4a. Article Number ¢ i <br />m 2 yob Sq3 74~ <br />_ <br />a <br />C~ ~~MS <br />o ~ 4b. Service Type <br />^ R <br />^ ~ t <br />¢ + <br />TbC1 Insured <br />egistered <br />v <br />y <br />y <br />R <br />~ ~ <br />^ Certified ~ ^ COD <br />~ a; <br />~ ; <br />t <br />ir u~ X <br />~ ^ Return Receipt for <br />^ F~[press Mail ~ ; <br />¢ q <br />! 3 Merchandise o i <br />G ~2 <br />/ <br />r{'~Y ~AJe CD 8/ 7. Date of Delivery <br /> <br />¢ 5. Sign ure (Addressee) 8. Addressee's Address )Only if requested x ~' <br />~ <br />~ ,3 end fee is paid) ~ ` <br />f <br />¢W 6. ignature (Agent) F <br />E <br />FS Form 811, December 7997 ,rus.dPO:uw>-auau DOMESTIC RETURN RECEIPT <br /> <br />