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iiiiiiiiiiiiiiiiii <br />m f <br />9 <br />d <br />m <br />0 <br />0 <br />c <br />0 <br />u <br />0 <br />a <br />0 <br />0 <br />t- <br />9 <br />0 <br />T <br />O <br />1: I also wish to receive the <br />items 1 and/or 2 for adddional services. ~ ~ ~ following Services (fOf an <br />items 3: 48, and 4b. ~ <br />name arld address on the reveres of tttis form so that we can return IIeA extra fee): <br />u <br />°~ <br />i ban to the horn of the mailpiers, ar on the back it spars does not -1. ^ Addressee's Address •Z <br /> <br />um Aeceipl Requested' on the meilpiers below the article number. <br />2. ^ RBSthcted DBIiVery d <br />al <br />n Receipt will show Io whom the ertiUe was delivered and the date Consult postmaster for fee. a <br />'u <br />3. <br />x~~,inc~-~C-,ram I~i~iC' <br />~ l `K~Ly- <br />~~;~L~(f5S0 <br />~/(~~1'r CYO ~'((~-~ I <br />PS Fd~it 3811, December 1994 <br />o SENDER: <br />a_ • Complete items 1 and/or 2 for additlo <br />m •COmplate items 3, 4a, end 4b. <br /> <br />~ ~ <br />• Print your name and address on the r ~ <br />Y <br />~ urd 10 yoU. <br />•Aaach this loan tc the hoot of Iha mail <br />o pemut. <br /> • Wdte'Aerum Aecript Aequesfed' on Ihs <br />C •The Return Receipt will snow to whom d <br />, <br />~ eerverea. <br />O <br />v <br />3. ArOCIe Addressed to: <br /> <br /> <br /> I W 4~~4~ <br /> <br />a <br />2 <br />Q <br />5. Receiv By: ( <br />t N <br /> j <br />g 6. Sign re: (A se Agent <br />o <br />>, <br />a <br /> <br />4a. Article Number u <br /> <br />s <br />4b. Service Type <br />d ~ C rtified <br />i <br />t ~ <br />~ <br />ere <br />s <br />^ Reg <br />^ Express Mail ^ Insured .~-~ <br />~letumReceiptforMerchandise ^ COD <br />ry <br />7. Date of Delive ~ <br />~ ~+~ / <br />( <br />-1 - \ -\ ~~ ~P T <br /> <br />6. Addressee's Address (Only i/requested Y <br />a <br />and lee is paid) r <br /> <br />Icppepps p =~ \ ~ <br />T,IIM19 forms That we ran <br />rOrygbhe if space doe• rl6l <br />FI~ ~ ow the anicle number. <br />ride was delivered and the tlalb <br />4a. Artll <br />x~ l7ns~l~i~ Z i <br />Of T <br />f0110w~ ~' t <br />YxYe4 ' <br />U <br />1. ^ Addressee's Address Z <br />2. ^ Restdcted Delivery N <br />Consult postmaster for fee. <br />Y <br />''II // u <br />~4~~J ~ ~ <br />0 <br />Certified ~ <br />^ Insured n <br />for Merchandise ^ COD <br />0 <br />ry C~ n ~ <br />-~ 1' 11c T <br />^ Registered <br />^ Express Mail <br />Addressee's Address (Only i/requested ~ <br />and lee is paid) r <br />F <br />Form 3811, December 1994 UOmeStIC FleiUfn M0C@Ipi <br />