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~e` SENOER: <br />7 •Gomplela items 7 anNOr 21or eddiGOrel services. I aISO Wlsh t0 feCelYO V1e <br />~ •Ganpete items 3, ee, ens at. following services (for en <br />~ •Pdm your name end eddrees on the reveres of this lam so that we cen fetum INe eXtra fee); <br />card to you. ~i <br />•Attach this form to the front of IM meilpisoe, a on IM barkif specs does na 1. ^ Addressee's Addr s a <br />permit. <br />• • Wnla'Refum Rewipt Requested' m the ma4pace bebw the ertirh resMec 2. ^ RBStdcted DeliVBry y <br />~ •The Return Receipt vnN stww to vRpm the editle was deNvered end Ne seta <br />c dowered. Consuftpostmasterforfee. <br />0 <br />n .Article Addr~t sed~to~~ ~ 4a. grticle Nulr~er ~ L ~ ~ c <br />.1~ LJ ~ <br />t 4b. Service Type 2 <br />w ~ ~ ^ Registered p Certifi ~ <br />~, C 4 ~ C ~J ail ^ Insur <br />r~ ni m 1( 1 J (~1 t,fi~ "yI <br />1 t~l.7.M>~ r ~.1 ~ ~. ` ~r ~ `~~ ` I 7. of D ~ r Merchandse ^ COD '~ <br />Cn L t ~°, <br />5. Received By: (Print N (n 5. Ad~i~see's c>~ s (Only 11 requested ~ <br />and ~ is pa C~ J <br />g 6. Sig . (Adore s g G O.~ <br />i, X . .L 47 <br />• <br />PS Form 3811, Dece r tssa Domestic Return Recei <br />