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i <br /> ~ o SENDER: ' <br />~ <br /> <br />v • Complete items 1 and/or 2 br etlElaorul eervicea. ~ .' _ <br />I P <br />' - <br />~` " "--"'"'"" ~"' <br /> ema 3, 4a, and 4b. <br />e <br />pl <br />ete p <br /> ~~ <br />u <br />' m <br />m • Prim your name and atldress on the reveres of thia farm so Net we cen velum Nis e <br />III IIIIIIIII IIII III <br /> e <br />N r <br /> ia forth to the hoot of the mailpiece, or on lha batlc if space tloea not <br />i eAtteoh 999 ~ <br /> ' ~ pertrtit. '~. <br />n •Wdte'Retum Receipt Requesred'on Ne nNilpiece below the article number i <br />2. ^ Restricted DBIIVary a <br /> <br />~---t ~ •The Retum Receipt will show to whom the artitle was delivered and the tlale <br />delivered. ~ t <br />Consult posbaster for fee <br /> ~ <br />o . <br />~ ' v 3. Article Addressed to: 4a. Article Number <br />.-~ ~ o ~~ ~ p 30~ i 79 e E <br /> L E GAM ~+ " ~1C ~ ~ <br />~ 4b. Service Type r <br />O O ~ °u ~ . <br />~ •~ ^ Registered t3.Certified ~ <br />Z p <br /> <br />P <br /> <br />s( <br />ctr p~Fxpress Mail ^ Insured _' <br />a <br /> v X o o <br />r ^ Re Receipt for Merchandise ^ COD <br /> <br />I o <br />oQ <br />~a,~,n C,}(, ~ Z ~ ~ <br />~~ <br />.Date of Delivery <br /> 7 ~ ~ i <br /> ¢ <br />O. S. Received By: (Print Name) ~g Addressee's Address (Onlyi/requested ~ <br /> ~ G J r and !ee is paid) r <br /> <br /> <br />~ l- <br />g 6. Signatur . dresses orA en $ <br /> c > X <br />ry , ~ PS Form 811, Dece er tssa Domestic Return Receipt <br /> ~ <br />~ m __ <br />I <br />lv ~ 1 <br /> .' -_` <br />~ VL <br />O V O <br />d ry ~ w SENDER: ~ ~ I also wish to receive the <br />' v •Complmeitemc 1 anNor2lor adtlitional seryiceru <br />~ ~ <br /> <br />0 Z <br />~ , <br />, <br />n aComplele items 3, da, erd 4b. <br />d • Pdm <br />our name end adtlresa on the reveres of this lone eo that we cen return the <br />TOllowing SBfVIC05 (inr an <br /> i y <br />° eM2 }ea): <br /> <br />a Y <br />i w w <br />O ~ rartl tc you. <br />~ o aMach tni9 brm to the horn of the malpiew, ar on Iha hatlc a space does not a <br />t, ^ Addressee's Address c <br /> ~ u Fo . Permit. <br />' y eWnte'Rerum Receipt Requesred'on the mailPiece below the shirts number. a <br />p.^ Restdc[ad DBliVery (! <br /> I ~ •The Return Receipt will show to whom Ne aditle was delivered end the data <br />~ <br />~ E ~ ~ ~ delivered. <br />o Consult postmaster for fee. <br />'n <br />d O <br />` <br />~ ~ a 3. Article Addressed to: <br />= 4a. Article Number `a <br />X83 a <br />~ <br /> n~ ~ <br />~ R` o (o SSC~ <br />V ~ ( ~ ~ I <br />~ E 4b. Service Type <br />~ <br />u, <br />N <br />~ <br />a 'A <br />C <br />/~Ce ~•F <br />w ~ <br />k a <br />i <br />Nfl <br />^ R <br />d ^ C <br />d <br />y <br />krl . <br />N - i <br />O a u . <br />, <br />G <br />N stere <br />eg <br />e <br />e <br />c <br /> <br />O <br />v <br />t~ <br />~ <br /> <br />~ <br />' <br />o <br /> <br />~ <br />~~ <br />a <br />~ <br />to r~.7 , \ (,, l <br />I ~~N • \~ <br />` ! Iv~V er7 <br />^ Ex ress Mail ^ Insured 5 <br />p a <br />~ Q LL as a m O <br />'o ^ Return Receipt for Merchandise ^ COD <br /> I51o6 <br />163 <br />' <br />~ D <br />i <br />o <br /> Z - <br />rlr- <br />u° <br />~ <br />~, <br />~ . <br />Z~ <br />: <br />a <br /> ~ <br />, <br />. <br />, ~ <br />~ <br /> <br /> ~ 5. Received By: (Print erne) 6. Addressee's Ad ress (Only it requested ~ <br /> ~~~ L 1 ~~~ and lee is paid) f <br /> <br /> . ~ 6. Signature: ( dresses or enq <br /> <br />' 0 <br />X ~ <br />~raluoq~a~ 9181 8 <br />YJg0eI1D3N 1 <br />~ <br /> Ps Form 3811, December tssa t Domestic Return Receipt <br />