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t <br /> Z 130- 08§ 0 v� <br /> US Postal Service Fu # g _ <br /> Receipt for Will red IVICIII <br /> No Insurance Coverage Provided. <br /> Do not use for Intematio I Mail See reverse <br /> Sent to ^ � <br /> Street Number / _ 2— -� <br /> PoptDffice,Statq &Z Code <br /> I U FZ <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> NIL <br /> Restricted Delivery Fee <br /> ION <br /> 0 Return Receipt Showing t s <br /> Who &Date Delivered <br /> a Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> 0 S TOTAL Postage&Fees $ 3 <br /> M Postmark or Date <br /> m SENDER: I also wish to receive the <br /> 9 ■Complete items 1 and/or 2 for additional services. I lso h to r services for an <br /> 0 ■Complete items 3,4a,and 4b. 9 <br /> t ■Print your yuname and address on the reverse of this form so that we can return this extra fee): <br /> 1 ■Attach this torn to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address <br /> permit. <br /> ■n1 trite'Rety rn Receipt Requested'on the mailpiece below the article number. 2•❑ Restricted Delivery N <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. _'M <br /> 3.Article Addressed to: 4a.Article Number a <br /> Z halto 8SO 12 <br /> 4b.Service Type <br /> Pv / ❑ Registered Certified p� <br /> ❑ Express Mail ❑ Insured g <br /> 3 t{_ o _ /�� ( Z. ❑ Return Receipt for Merchandise ❑ COD <br /> 1 f�`?"�05Dr �-CJ � � 7.Date of D livery `o <br /> 5.Received B nt Name) 8.Addressee's Address(Only if requested Y <br /> and fee is paid) <br /> 6.Si :(A resses or ) <br /> a <br /> =° PS Form 3811,December I 0aV 102595-98-B-0229 Domestic Return Receipt <br />