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UNITED $TATE3 POSTAL SERVICE <br />iiiiii <br />First-Class Mail <br />Postage 8~ Fees Paid <br />USPS <br />Permit NO. ~-10 <br />• Print your name, address, and ZIP Code in this box • <br /> <br />1~J~n. ~T V'c~,n Vb~- <br />la3s-3 {~wy l~{ <br />WG4~.~,.~. Ca B~$0 <br />SENDER: <br /> <br />I .Complete items 1 and/or 2 for additional services. I also wish to receive the <br />i .Complete items 3, aa, and ab. following services (for an <br />~ ^ Print your name and address on the reverse of this form so that we can return this extra fee): <br />i card to you. 8 . <br />.Attach this form to the front of the mailplece, or on the bads ff space does not ~ , ^ Addressee's AddreSS <br />~ ^Wn a tRetum Receipt Requested' on the mailpiece below the article number. 2. ^ Restricted Delivery N <br />i .The Return Receipt will show to whom the article was delivered and the date , <br />delivered. - Consult ostmaster for fee. <br />p ~ <br />e <br /> <br />i , <br />. P6~-~.~-1.~ ~~ <br />V~~-Q ~-~ ~ ~~g0 <br />~~/~ Th ~,Pi r~% <br />c 6. Signatu :Addressee orAger <br />' '' X C2.e_-~~2L~~-ce- <br />_~ <br />PS Form 811, December 1994 <br />7 004 2510 0002 9733 6159 <br /> e ce Type <br />~ Certified <br />^ ~R <br />ist <br />f <br />d <br /> eg <br />~ <br />~~ <br />e ~ <br /> Express~ia~I~ ^ Insured S <br /> ^ "Ftetum Receiptf~ Merchandise ^ COD <br /> 7. Date of>9elivery <br /> ~~~, <br />`~ r c <br />~ , <br /> 8?Addressee's Address (Only if requested ~ <br />~ ~~~~~ ispaid) <br /> ~__~ <br />io2sss-s~-a-ons <br />rn <br />