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-T_. ~._.._.._.r __ -- -- <br />' UNITED STATES. POSTAL SERVICE <br />.. ~.~ <br />Print your name, al <br />~~ :C} .9 <br />"-~ w) 1~ <br />nd ZIP Code in this box • <br />~ Y~ <br />{{„{~I{,,,,hJt~i{,1ir,~,{,{t! <br />- -- <br /> <br />o ~ SENDER: "" <br />~ ^Complete items 1 and/or 2 for additional services. <br />~ I also wish to receive the <br />fOIIOWIn SerVIC83 (for en <br />9 <br />d, <br />a- ^Complete dema 3, 4a, and 4b. <br />^ Print your name and address on the reverse of this form so that we can return this extra fee): <br /> <br />~ card to you. <br />^Atlach this form to the front of the mailpfece, or on the badc'rf space does not <br />1. ^ Addressee's Address <br />~ <br />~ <br />- m permit. <br />^write•Remm Receipt Requested' on the mailpiece below the amide number. <br />2. ^ Restricted Delivery <br /> ^The Return Receipt will show to rode was delivered and the date <br />Consult postmaster for fee. ~ <br />c <br />0 <br />delivered. ___ <br />3. Article Addressed to: 7~~ 3 .2 2 6 p <br />p p p 2 2 p 2 p 2 0 p p <br /> ~ <br /> ~ <br />~ ~ . ~" I > Service Type <br />4b m <br />~ r <br />~ P !.~ l „ri / nO /' ~n ~ t # 1 ~Q . <br />^ Registered Certified ~ <br /> ~ <br />~~ ^ Express Mail ~~,if~!S ^ Insured <br />R COD <br /> ~ ~~~ <br />/r"L' ' "" <br />~~r~~ ^ Return c <br /> r <br />( <br />~~~ ~ t 7. Date of D I - cs~ <br />~ ~ <br /> ~ ~ 2$ <br /> 5. Received By: (Print Name) 8. Addresse A dre~~nly ' ested <br />' a <br /> d) <br />and fee is t <br />g 6. Signat re: (Addressee orA t) <br />o <br /> PS f=orm 3811, December 1894 ,o2sss-s~-s-o,~s Domestic Return Receipt <br />