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• SENDER: Complete Itsma tend 2 when eddhlanal services ere chaired, and complhta hams <br />3 end 4. <br />Put your sddraaa M the "RETURN TO" Space an the roveroa aWS. Failure to do this will prevent thlh <br />car0 from being ratumed to yyou. The return recel~t fe ~will provide you the Dams of the oa~delive~r d <br />to d the date of dative . For eaalt~r e~the Polrw nTg services are evarTe3le. onau~-ft postmaster <br />ors eea an ec c ox ea for,addhlonel aervicelel reQUerted. <br />7. ^ Show to whom dolivered, date, end eddrecaee'a eddreee. 2. ^ Raetrlcted Delivery <br /> (EUM dwrad (Evru charred <br />3. article Addressed to: ~~~ 4. Article Number <br />1 <br /> ~ ors X7 <br /> ~~ ~ ~~ ~ <br />T of Senlte: <br />^ <br /> R <br />' vU X a 78 Inhurod <br />~I Replaterod <br />ryCertlf7gQ ^ COD <br />Return Racal t <br /> ').,~,. ^ Express ell ^ <br />for Marchen~ae <br /> ~ ~ ~ ~ <br />`JIA~ <br />d 75 <br /> Alweyh olrtaln aynatun of addressee <br /> or event end DATE DELIVERED. <br />6. Sig re - Add~ss~ 8. Addressee's Address (ONLY IJ <br />x A A l~ <br />~ <br />V ( rrquesud and Jer paidl <br />6. Signature <br />Agent <br />- <br />x '^ <br />7. Date of Delivery ~ry <br />7 <br />PS Form 3811, Mar. 1988 <br />A <br />d <br />t: <br />8 <br />m <br />M <br />E <br />0 <br />u. <br /> <br />a U.S.QP.O. 1g89-212-BCS DOMESTIC RETURN RECEIPT <br />P 767 445 X71_ <br />RECEIPT FOR CERTIFIED MAIL <br />NO INGURAN(;E COVERAGE PRGVIGEG <br />Npi FOR IHi ERNATIUNAL MAIL <br />d G (See Reverse) ~'~ _ ~ 7 <br />Sent , <br />Slr 1 antl No <br />P O . Slate and ZIP Code <br />a ~o <br />Postage 5 <br />Candied Fee <br />Special Delivery Fee <br />ResU¢1etl Delivery Fee o ~ ,? <br />Return Rece~pl shown <br />ip whom and Dale Del er /~ O <br />t/ <br />Return Receipt showin <br />Date. and Andress of I h 1f <br />rI I <br />~71'~ <br />TOTAL Postage ano Fees <br />Postmark or Dale <br />~~ <br />~~ <br />f <br />W <br />W <br />fJ) <br />S <br />At <br />N <br />0 <br />CD <br />7 <br />CD <br />1 <br />l/ <br />O <br />PJ <br />0 <br />W <br />