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r~ <br />.SENDER: Complete Items t end 2 when etldltlonel Nrvlco era tlnlnd, entl complete Items 3 <br />entl 4. <br />Put your sdtlreee in the "RETURN TO" Spsce on the reverse aide. Falluro to do thle will prevent [hle <br />certl from belnq returned to You. Th r scel 2 f III Itle o th o1 the <br />delivered to end the de[e o'f e v .For etldltlonel tese the followlnq earvlcN ere evellsble. Consult <br />POetmeetsr for lase entl check boxla) !or edtlltlonel Nrvlce{+) requested. <br />t. O Snow to whom dsllve-ed, tlete, end etldrmea'e eddrws. Z. ^ Raetrlttetl Delivery <br />t (Extrs char8e)1 t /Ex ho charge)t <br />3. rticle Ad ed to: <br />~Q~,y. <br />~ <br />~~ <br />:1(~l•- 4. i ~ N mbar <br />J <br />- <br />. <br />. ~ ~~ ~ m <br />L'p ~~-t%1 Type of Service: <br />^ egistered ^ Insured <br />_ <br />r ~ ~~-~'/2Q~ <br />1 ~ Certified ^ COD <br />Exprecs Mail <br />/ <br />~ I <br />~ <br />' / Always obtain signature of addressee <br />® <br />rng <br />~~~ <br />!l. ( ~ y or agent and DATE DELIVERED. <br />5. Signatur -Addressee 8. Addressee's Address (ONLY if <br />x f requested and fee paid) <br />6. Sign ere -Agent <br />X <br />7. Da of Delivery <br />,~ ~: gun) s~ , <br />-/ <br />PS Form 3811, Maz. ]987 : u.s.GRO. tea-27e-xse <br />end 4. <br />Put your etltlrsu In the "RETURN TO" Specs on the revan~ <br />card from belnq rate rnstl ro You. Th POtet~l i4c!I?~tht <br />' d lye d s e d the bete o/-~ <br />pomm~tsr for fen entl chw:k box lee) for eddltlanat servln Ul <br />t. ^ Show to whom dellve red, tlete, end etldreelN'e eddreN. <br />t (Exp-a charge)t <br />3. Article Addressed t ' <br />i ~~ss. ~ ~'rt•~k 4 <br />Dys Sp ~rtgr(.tJDo~ <br />. Co//rte) C,~ gos~1 <br />5. Signature - <br />6. Si eture - Aga(n_t/^`~~ ~~~' '"fJ t~ r ~"~~ <br />7` eteo Delivery `~~f 11 ~_q <br />DOMESTIC RETURN RECEIPT <br />elda. Fellura to tlo thle wlll' Meeoenpn <br />I Itle v th <br />r,.u,...,t..e •ervlen Hs evdlebN. Comult <br />13°165 ~a~ `~~ <br />~e of Service: <br />Registered ^ Insured <br />Fortified ^ LbD <br />Exprecs Meil <br />,~,,. ,.brale •ionature o1 addressee <br />l9' <br />(~ <br />rorlm a_s..c~~~•- <br />when etldltlonel Nrvlcee ere tleelrod, end com Plats Items <br />.$ENDE~tems t end 7 n <br />ce on the reverN eke. Fellura uo hoe thl ^wlll prh ant thN <br />end 4. In the '•IiETURN TO" SPe v <br />Put Your eddrMS u n e the followlnq eervlcee ere evslleble. Consult <br />returnee tT Yo~~ For edtlltlonel 1Ne usetetl. <br />card from belna the dot Icetd nq <br />k (se) for Wdltlonel Nrv ~. ^ Restricted DellverV <br />tlete, end etldresses'e etltlreu. t (Extra chargeJ~ <br />ppetmeete~ d cfiec box <br />t, ^ Show to whom l(ExtN Charge/i <br />;. Article Addross~ o: c~ ` -rt-r- <br />t ~ ~~ '~ ~~ <br />a ~S ~''' (~ gbs~i <br />i~- ~1,`:v:4, <br />5. Si~ewm - <br />X <br />ss, sro <br />i7t. ate of Del <br />'7'71ry1SL'er aaq - ~! -o <br />'ypeTE of Service: I] Insured <br />]-Registered ^ COD <br />rtified <br />] Express Mail <br />Iwaye obtain signaturo of addressee <br />nt enQ nASE DELI IVES <br />or age <br />,` 19a9 ~ <br />5'9,,33 <br />~~ _._..~tnou RECEIPT <br /> <br />~a <br /> <br />