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ENDER: <br />I a150 Wish t0 receive the <br />~re • Complete hems 1 anyor 2 for atltlitional serves <br />/Complete items 3.4a, antl bb following services (for an <br />e • Print your name antl address on the reverse of this lorm so Thal we can return this extra fee): <br /> <br />m cartl to you <br />•Attach This farm to the iron) of the mailpiece, or on the back d Space tloas not <br />7. ^ Addressee's Address m <br />`-' <br />~ • Wd e~t'Fetum Heceipl Requested' on the mailpiece below me arUCle number 2. ^ Reslncted Delivery m <br />N <br />d • The Return Receipt will show to whom the article was tlelrveretl antl the tlate Consult <br />ostmaster far fee n <br /> oeevered. p <br />. <br />`0 3. Article Addressed to: 4a. Anicle Number v <br />u <br />m <br />~,.owR.'Mas,.~.a <br />uSg~M A.,, ~_L7~•O~.DI(7 <br />o, <br />e , <br />3t~0 ~' "`A`N 4b. Service Type <br />^ Registered ~Certilied 3 <br />01 <br />U <br />Ci,,.~aG,~, C.D atzt2 <br />^ ExpressMail ^ Insured <br />°i <br /> ^ Return Receipt for Merchandise ^ COD ~ <br /> 7. Date of Delivery <br /> 0 <br /> 5. Received By: (Print Name) 8. Addressee's Add ess (Only i! requested Y <br /> and !ee is paid) m <br /> L <br /> 6. Signa e: (Addressee or gen ~' <br />'o X <br />T <br />_" <br />PS f=orm 3811, Decem er 7994 <br />t025959ee-0229 Domestic Return Receipt <br /> >S S <br />Z 228 024 016 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Intematlonal Mail See rE <br />sem;o Q ..., Any R• N1,, <br />cn ~`Z=Z <br />S <br />Cedifiad Fee <br />Spedal Delivery Fee <br />ReslriCed Delivery Fee <br />N <br />~ Retum Receipt Showing to <br />um,.n 6 Date DeGven)d <br />f~essees Mhea <br />Postage 8 Fees 'S - ~ <br />Ac or Dale ~ ~', <br />al ~ ~s <br />