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w SENDER: <br />a ~ Complete items 1 and/or 21or atltlibonal services I also wish to receive the <br />followin Services IOr an <br />9 ( <br />rn <br />m r Compiele hems 3, da, and 4b. <br />• Pnnl your name antl adtlress on the reverse pl Ihis loan so Tha l we can return Ihis extra fee): <br /> <br />u cartl to you. <br />~ Attach This loan to the Iron of the mailpiece, or on the back it space does not <br />1. ^ Addressee's Address <br /> permit <br />~ Write "Reurn Receipt Requesled'on the mailpiece below Ise <br />aside number. <br />2. ^ Reslncfed Delivery <br />Y • The Return Receipt will show to whom the aside was tlebvered antl the dale <br />delivered. <br />Consult postmaster for lee. <br />0 3. Article Addresse l~ <br />d1'l~ 1~ 4a. Article Number <br />3~ 7~S 3 y <br />d <br />n <br />e U- V <br />~ ~ ~ ~~ ~O ,/ /C'~ ., (1 <br />/ <br />('r <br />L ~ <br />` <br />~( <br />4b. Service Type <br /> "' <br />7 <br />f <br />~-'d ~ <br />T [] Registered ~Cenified <br />U l <br />1 <br />rl - r <br />/ <br />•) <br />~ <br />~ 6 3 ~l <br />~ <br />~ <br />^ Express Mail ^ Insured <br /> ` <br />-- <br />~ <br />1 <br />' <br />p <br />,aoi` I ^Relurn Receipt for Merchantllse ^ COD <br /> 7. Date of Delivery <br />5. Received By: (Print Name) ~ 8. Addressee's Address (Only it requested <br />and fee is paid) <br />6. Signature: (Addressee or Agent) <br />'o X <br />T <br />" Rs Form 3811, December 1994 lazses se a ozzs Domestic Return Receipt <br />ai <br />N <br />a <br />U <br />d <br />Q <br />m <br />rn <br />c <br />.q <br />0 <br />0 <br />T <br />Y <br />m <br />L <br />f <br />