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� Jeff Todd <br /> 4303-421-4680 197 T2:49PM D212 <br /> a I also wish to receive the <br /> ` ■Cemptsts Y.nr/sndlbr 2 tar sddltiatrl swvtasa f0owmn9 Services(for an <br /> m SENDER: �`':. I also wish to receive the <br /> •Complete items t aidr,2 for additional services. <br /> 'w ■Complete items 3;4a,and 4b. following services(for an <br /> a► ■Prim your name and address an the reverse of this form so that we can return this extra fee): <br /> card to you •^ cmi <br /> ■Attach this form to the front of the mailpiece..or on the back if space does not 1. ❑ Addressee's Address <br /> perrift <br /> Write Tatum it <br /> t The Return Rem wip whom the artic Requestee an the le was delivered and the date bek)w the article numbec 2. ❑ Restricted Delivery, to <br /> delivered. �•.�,., Consult postmaster for fee. o <br /> 0 3.Article Addressed to: 4a.Article{Vumber / CC <br /> m s r1/ <br /> 1 E 1L%' 7 4b.Service Type Z tsured <br /> O Z ❑ Registered ertified cCa <br /> c❑ F�cpress Mail S <br /> t7 <br /> m <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date.of Delivery 3 <br /> 0 <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only if requested <br /> d fee is paid) t <br /> I.. + <br /> 6.Signs re:(Addwsse orA t) <br /> a°. X kt <br /> a <br /> (— Ps Form 3811, Dec mber 1994 Domestic Retum Receipt <br /> + <br />