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m SENDER: I also wish to receive the ' <br /> �t7 ■complete Items 1 andlor 2 for additional services• following services(for an t <br /> w ■Complete items 3,4a.and 4b• et I <br /> • ■print your name and address on the reverse of this form so that we can return this extra fee): iT <br /> card to ycu. <br /> Attach this tone to the frond of the maitpiece,or ion the back if apace doss not 1,❑ Addressee's Address <br /> ■permit. <br /> Receipt Requested'on the maitpieee below the article numb a 2.❑ Restricted Delivery N <br /> : . Bred and <br /> the date S. <br /> • s► ow to whom the article was delivered fee. — t. <br /> will show postmaster for <br /> eThe Return Receipt Consult <br /> Co <br /> ai. e <br /> delivered. t <br /> 4a.Article Number CC f:. <br /> .� 3.Article Addressed to: Q n> S .0 I <br /> c b. erviCO YPe t <br /> :1 E Certified <br /> { ra a ri,w r°, � Q� l�-� 1� ❑ Registered <br /> • �' /A/ ltl�u,I ❑ Express Mail [3 Insured p I <br /> ❑ Return Receipt for Mercharidse ❑ COD o . <br /> Date of Del very <br /> a <br /> to �.1. <br /> k 8.Addressee's Address(Only if requested C t <br /> �,' 5.Received By:(Print Name) and fee Is paid) <br /> 6.Signaturre 7 r Ag t) l <br /> X Domestic Return Receipt <br /> PS Form 3811,December 1994 <br /> It <br /> WK <br /> ''.t N , p; i is'L�1 �T �w4 y(yi tft � j �r,•r�� 1 � .: <br /> �,. i 1� - 1 .t e, +�9&y;,D bbk3 C+1 .Y" L "4•y, '�K.fi <br /> n <br /> r r- � �r� � �b ,�,�•=' �r#as.!� 3 �,,{,.t �. a >F.� xrSs�i�.r +4 g <br /> "w <br /> r' �y;' <br /> hz(i'Ll t lC2 t,a , t <br /> '� +,a 1'�4 tt�`^� `[�' ��'a; k�. ryt rSr, .�' fw�"!f ��a ��s•. � '.. t�-L �t` .�'`� ��' k <br /> 0+ }'l' �q,. �yi;{��' '$•�N.t.�""I�.r+i `Fti' t�� � e�t�5;.�7��� �*�". <br /> ;iaSi/+4`j 44tF4 F �". �Y. sty T *•,�"r` <br />