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SENDER: ! <br /> '13 ■Complete Hems/andlor 2 for additional services. I also wish to receive the <br /> ■Complete items 3,4a,and 4b. following services(for an <br /> om ■Print your name and address on the reverse of this form so that we can return thin <br /> card to extra fee): <br /> •Attach this formto the front of tt meilpiece,or on the bads if ai f <br /> ` Pew apace does not 1. ❑ Addressee's Address i <br /> • ■Write'Retum Recelpf Requested'on the mailplece below the article number. m , <br /> ■The Return Receipt will show to whom the article was delivered and <br /> d the date 2 Restricted Delivery W <br /> o delivered. Consult postmaster for fee. a <br /> 3.Article Addressed to: _ 4a.Article Number <br /> °' �aqq Poe AV>�IGc�R'� i vS <br /> P a"�7�� 6 0 c 1 <br /> o n ly 4b.Service Type <br /> //7 tom ,,i ��S1'Yi ❑ Registered !g Certified CC <br /> ��Q a/v f /Z�vf� r%fi✓�l•aM� ❑ Express ❑ Insured 5 , <br /> ❑ Return y ❑ COD <br /> 51 7 <br /> Ufa 1,t4,VVV/ co 7.Date offflWory �/ o <br /> 0 <br /> 5.Received By: Print Name � <br /> y ( ) .Addre e A (O r3quested -19 ; <br /> and fe 's _ <br /> c 6.S,igCnadressee or A�t�e�j <br /> f H <br /> g9 <br /> PS Form 3811, e'ce her 1994 Domestic Retum Receipt <br />