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<br />V •Completa items 1 and/or 21dr adlitional services. :{ ""' " ~ -1 ~~+ ~?: ~EQISO wish 10 r8C81Ve the <br />n •Complete items 3; bh; end Ah. -~ .'- 3~wy~'hbf'Ao_j,.°3: .fOIIOWIng serl(ICBS (for 811 <br /> • Print your name and address on Ne reverse or this form w that we can iRtum 1Ns <br />' extre fee): <br /> <br />6, ,,...I,F•i• <br />caN to you. ~ :~ :r ~ , <br />a <br /> •Atl <br />ch this lone to Ihe.hoM or the mailgece, or on theback if space does not ~ <br />a t ; ^ Addressee's Address <br />m r <br />m <br />•Wdte'Retum Receipt Requested'on the mallpiace below the article number. ~ p,^Restdcted DBliVery <br /> •The Retum Receipt will show to whom me ertide was delivered and the date <br />~ <br />o aelivered. Consult postrnaster for fee. <br />'4 <br />v <br />m 3. Article Addressed to: 4a. Artcle Number <br />3~ <br />`' rd <br /> ~c,rn C <br />C G <br />~ F <br /> <br />° ~~~ I ( <br />~" " <br />`~~~ r 4b. Service T e <br />p <br />o <br /> <br />rn ' <br />/' <br />I ~~C <br />~ ~ S~'E <br />S ^ Registered <br />Certified <br />^ Ex <br />ress Mail ^ Insured <br />C <br />5 <br /> j <br />_ <br />C. <br />,^~-f 'j7 p UY~ Fyn / <br />C~ p <br />Retum R ipt far M rchendise ^ COD N <br /> ,~ <br />~ <br />~~ I <br />' 111 v w ~ <br />2S <br />11 <br /> - lJ <br />, 7. Date D iv / <br /> l a <br /> 5. Received By: (Print Name) 8. Ad sae's dress (Onlyilrequested ~ <br /> and /ee is paid) i <br /> r <br />g 6. Sign tut . d re 9e ant) <br />i, _ <br />W <br /> PS o 3811. ecember tssa Domestic Return Receipt <br />lComplete.items l andor 2 for additional Bervirss. ~ I also wish to receive the <br />•i~'rriplete Hems s, ba, and ab. '. , ~. following services (for en <br />:mod f auto ame ant address on the reverse of this fdrmso that we can return this extra fee): <br />•Attach t~ rom, to the tram or the mailpiecti, w on rile bade if space does not r 1. ^ Addressee's Address <br />pemut. 'r, ,...,a oZo <br />• Write'Rarum Receipt Requeffied' on the (dm~gpq Nelow the edide number Q, ^. Restdcted Delivery N <br />•The Return Receipt will show to whom thq artice was delivered end the date <br />aervered. '! Consult postrnaster for fee. <br />CC~h~~(Co. Z ~I I(~ R <br />jr~ ~r~l,},~~> O ~~"1 4b. Service Type <br />yy'J11,, r LJ ^ Registered <br />~4~ ~ -(-+u~ ^ ExpressMail <br />end iee is paid) <br />6. <br />X <br />PS Form 3811, December 1994 <br />~~~ 8 <br />a'.~2_ <br />E <br />~~ // m <br />~Gerfified ~ <br />^ Insured a <br />Lse ^ COD ~ <br />O ' <br />T <br />Uyi/requested ~ <br />L <br />f <br /> <br /> <br />° Certi~i~ p~ <br />GV ~y}~-~ <br />~ ~ No Insurance Co-Z112ge~~npt9_ey~ <br />.«~"ru .,...: Do not use for f~I~R11a1 <br />Q (See Reverse) _r (5 <br /> <br />r <br /> <br />Z 416 942 <br />Receii$pRS?• <br />Certifi~~~' <br />No Insure <br />Do not use for Ir~ '1 <br />ISee Reversal ~ <br />m <br />L <br />e <br />O <br />m <br />l+l <br />1~1 <br />d <br />5 nt to p <br />` <br />et <br />a T <br />v <br />P rate ntl ZIP de ~ <br />Postage ~ - <br />Certifies Fee <br />Special Delivery Fee <br />flestrctetl Delivery Fee <br />Return Peceipyy88~owing <br />to Whom &~date Delivered <br />Aeturn flecelpt Showing to Whom, <br />Date, antl Adtlres5ee's gedress <br />TOTAL Pdstage <br />& Fees A <br />V <br />Postmark oT Date - ' <br /> Sen tO (~_ ~„ , <br /> u <br /> n~o~ <br />~~~~~ <br /> / <br /> -, Staie I Code <br /> 1 <br /> Postage y ' <br />a <br /> <br /> Certihetl Fee <br /> Special Delvery fee <br />. <br /> flestricted Delivery Fee <br /> Return Peceipt Shorr~~Jnnq 4 <br /> m Whom a Date Tlellveretl ^' \ <br /> fleturn Receipt owing taWhom, <br /> Date, and Atltlr ee~t q re <br /> TOTAL Postage Q ~ <br />a <br /> & Fees <br /> Postmark or Dat <br /> ® <br />/t~ <br />O~ <br />4 <br />C <br />G <br />~ <br />M <br />~ <br />`'~ <br />`~ <br />I <br />1 <br />J <br />C <br />:LS <br />E <br />Q~ <br />1/ <br />.n <br />C'7 <br />r <br />C7 <br />T <br />\/ <br />