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t - - <br /> m SENDER: <br /> ■Complete items 1 andfor 2 for additional services. <br /> G W ■Complete items 3,4a,and 4b. I also Wish to receive the <br /> E •Print your name and address on the reverse of this form so that we can return this following services(for an <br /> card to you. extra fee): <br /> •Attach this form to the front of the mailpiece,or on the back if space does not permit. 1. ❑ Addressee's Address a o `- <br /> e ■Write'Retum Receipt Requested'on the mailpiece below the article number.■The Return Receipt will show to whom the article was delivered and the dat C delivered. e 2 ❑ Restricted Delivery v° Consult postmaster for fee. t <br /> 'a 3.Article Addressed to: 4a.Article Number <br /> m / // / z <br /> °� V 7/iL SF milt c s cv. G/ �d, %U 3 5� ¢ <br /> c <br /> 0 4b.Service Tp <br /> e = <br /> 17 ► s ❑ Registered ecertifted <br /> cc <br /> n j % ❑ Express Mall ❑ Insured <br /> le ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery w <br /> g 5.Received By:(Print Name) ° <br /> B.Addressee's Address(Onlyi/requested T <br /> Y <br /> and fee is paid) <br /> c6.Sign r : d ssee or gent) <br /> i ; X <br /> PS Form 3811, December 1994 <br /> Domestic Return Receipt <br /> JLYB U <br /> ULNW CUlvgml y---- --_-- <br />