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• SENDER: Complete Items 1 and 2 when addhionel cervices are desired, and complete hems <br />3 and 4. <br />Put your address In the "RENRN TO" Space on the reverse aide. Failure to do this will prevent this <br />card from being rrtumed to you. The return recei t fee will rovlde ou the name of the ereon delivered <br />to end the date of dative .Fore tt one sea t e o ow ng serv ces are eve a e. onsu t portmarter <br />or see an c ac: ox ea Tor additional servicalel reryueeted. <br />t. ^ Show to whom delivered, date, and edtlreaaee'e address. 2. ^ Rertrlcted Delivery <br />(Enna chargel (Faro drange) <br />3. Article Addressed m: 4. Article Number <br />I ~( ~, J I - ' ~I <br />~~ ~ ' L ' ~ ~ ' - ~ ` y T e of Service: <br /> ~ReBlrtered ^ Inaorotl <br />~ <br />` fl ~canlnad ^ coo <br />~ <br />~ <br />' ^ Expreca Mall ^ Rrtum Receippt <br />f <br />M <br />~ or <br />amnendise <br />l r <br />' _ ~ ' ~ / <br />Alweye otnaln elgnrturo of eddrepae <br /> or eBant end DATE DELIVERED. <br />5. Signature -Address 8. Addressee's Address (ONLY U <br />X /~ ~ <br />~ regrwtcd mrd fn Paid) <br />~ 1~ <br />8. Signature -Agent <br />X <br />7. Date of Delivery <br />PS Form 3811, Msr. 1988 • U.8.QP.O. Ig88-272-885 <br />h <br />m <br />m <br />c <br />0 <br />m <br />n <br />E <br />`o <br />LL <br />N <br />o. <br />P 951 837 242 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INGUIIANOE COVEIIAGE PgOV10E0 <br />NOi FOfl INiENNATIONAL MA4 $b- /a 3 <br />Q ~ (See Reverse) >c cc <br />Ser11 la <br />Slre~¢I and Noand No. <br />~ r~. <br />~ <br />P O., Slate antl ZIP Ode <br />1 <br />UC <br />Postage 5 <br />CeNGed Fee <br />$pepial Delivery Fee <br />Restricted Delivery Fee <br />Return Receipt s Q.DIlt °~ <br />to whom and D rvered <br />o- <br />Return Rece~ptsho I <br />d+~ <br />Date. and Atldr~' Iifery ~ .I (7, <br />F <br />TOTAL Postage ~^-~es <br />'V .' ~~ <br />Pp5lmarM or Dale <br />DOMESTIC RETURN RECEIPT <br />G <br />O <br />Q <br />i <br />N <br />C <br />d <br />6t7 <br />T <br />N <br />I~ <br />lC <br />d <br />.L <br />Qn <br />Q7 <br />P <br />a- <br />r. <br />