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r <br /> i <br /> w ■Complete items 3,4a,and 4b. �••-•••••s - <br /> m ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> ai <br /> ■ttach to you. <br /> suform to the front of the mailpiece.or on the back if space does not 1. ❑ Addressee's Address <br /> m ■W e'Retum Receipt Requested'on the maiipiece below the article number. 2. ❑ Restricted Delivery v) <br /> t� ■The Return Receipt will show to whom the article was delivered and the date a <br /> e delivered. Consult postmaster for fee. ar <br /> ° <br /> 3.Article Addressed to: 4a.Article Number cc <br /> � <br /> 4b.Service Type a, <br /> 7 g� D,,CGIvn ❑ Registered (Certified <br /> o r ❑ Express Mail ❑ Insured <br /> q <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery ° <br /> °a. <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only i/requested C <br /> and fee is paid) .0 <br /> ' c 6.Signatu ddre At 1 <br /> a. X ` <br /> ` - PS Form 3811,December 1994 Domestic Return Receipt <br />