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<br /> <br />e SENDER: I also wish to receive the <br />v .cernpeta hertis ~ and/or z for Wtlitlorrl eervlae. <br />~ .Compete eeme a, 4a, erd ab. following seMces (for en <br />4 •Prinl your name end eEEnus an tM lewne of lhi• form •o tlxt we un Mum tNe B~ ~ <br />urd to you. <br />~ .Meth dee brm to dr hors M the mdlPMCe, or on tM Wdt it ape <br />t aemrt. <br />o • Wdle'Rerum Recwipf Requeeted'an the rrleegBCB below iM erti <br />~ .The Ralum Recelq wiM Now to whom die ankle was delivered e <br />C delirvered. <br />O <br />~ 3. Arude Ad/d~ressed b: <br />/3l9 Sti s~ i <br />~' ~ ~Z o'3 <br />a`'. 6. SignaNrB: ~dd~55CB 0//lqH <br />~ X U <br /> a B). 8 <br />~•• ^a 1. ^ Addressee's Address Z <br />r^u^b•r~ 2. ^ Restdcted Delivery y° <br />the tlele <br />ConsuflpOStmBalerl'Or}eB. <br />4a. ANGe Number <br />3Y6 fI6 2 ~ o~ <br /> <br />4b. Service Type e <br />f~Fiegistered ~KCertlfled ~ <br />^ 6tpress Mail ^ Insured ~ <br /> <br />^ Retum Rooeipt for Mercflerltise ^ COD a <br />~ <br />7. Date of Delivery <br />--a~ <br /> <br />B. Addressee's Atldress (Only it requested ~ <br />arM lee is paid) i <br /> <br />PS Forrn 3811, December 1994 1025959] B-01]9 <br />