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a SENDER: I also i to receive the <br /> m aC Complete <br /> Complete items <br /> e s s,as a d br.a� followingservices(for an III I II'II I II <br /> a ■Print your name and address on the reverse of this form so that we can return this extra fee): «_ 999 <br /> u.r card to yo � - <br /> a this form to the from of the mailpiece,or on the beck if space does not 1. ❑ Addressee's Address Z <br /> o ■Wrtte'Raium Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery y <br /> rs ■The Return Receipt will show to whom the article was delivered and the date - <br /> delivered. Consult postmaster for fee. <br /> 0 <br /> 3.Article Addressed to: 4a.Article NumberCL o. <br /> E /40i 6,-t SS I, ,G 4b.Service Type m <br /> k°� _ y ❑ Registered 1,9/Certified CC <br /> ZU.'u US ❑ Express Mail ❑ Insured <br /> a. <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> /til•nil r r+ I co 7.Date of Delivery <br /> 5.Received By:(Print Name) - B.Addressee's Address(Only if requested <br /> and fee is paid) 10 <br /> 3 6.Siena ( did ssee or ant) <br /> m X <br /> PS Form 3811,DecemlWr 1994 102595-97-B-0179 Domestic Retum Receipt <br /> SENDER: I also wish to receive the <br /> ■Complete items 1 and/or 2 for additional services. following services(for an <br /> ■Complete items 3,4a,and 4b. <br /> w sprint your name and address on the reverse of this forth so that we can return this extra fee): m <br /> o . <br /> ■Att to h taach tiisuform to the from of the malipiam,or on the back if space does not 1. ❑ Addressee's Address <br />` ■Write Return Receipt Requested'on the mailpiece below,the article number. 2. ❑ Restricted Delivery N <br /> m ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. a <br /> delivered. Io <br /> v <br /> 4a.Article Number a, <br /> 3.Article Addressed to: C g 3 a y U <br /> OC <br /> 4b.Service Type m <br /> 1-,1 05S01 r4 Pr] <br /> ❑ Registered .0 Certified Q . <br /> /r ���'�� ✓�d d - ❑ Express Mail ❑ Insured <br /> /�• U ��{ ❑ tlandl <br /> Return Receipt for Mercse ❑ COD <br /> f <br /> r 7.Date of Delivery <br /> Z; 5.Received By:(Print Name) <br /> B.Ad ressee's Address(Only if requested <br /> {I and fee is paid) <br /> g 6.Signature: (Addressee or Agent) <br /> a X ��- <br /> PS Form 3811, December 1994 102595 97-B-0179 Domestic Return Receipt <br /> m SENDER: <br /> fl ■Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> ■Complete items 3,4a,and 4b. following services(for an <br /> • ■Print your name and address on the reverse of this torn so that we can return this extra fee)'. <br /> > ■ t�Attach form to the front of the mailpiece,or an the badk if space does not pemtlt 1. ❑ AddreSSee'S Address 8 <br /> o <br /> o ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2,❑ Restricted Delivery <br /> « ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. <br /> o Consult postmaster for fee. <br /> m 3.Article Addressed to: 4a.Article Number o <br /> Z%Q gS 3 y 7 E <br /> 0 4b.Service Type a <br /> 1• yNg ❑ Registered (Certified is <br /> w 0 ❑ Express Mail ❑ Insured 1 <br /> to ❑ Return Receipt for MphmcW ❑ COD a, <br /> G q 6 I 7.Date of Delive y/ <br /> l co - <br /> 5.Received By:(Print Name) 8.Addressee A r4eJpM itested <br /> and fee is d we <br /> g 6.Signature: (A a orAgent) GJ, <br /> drn4X � � <br />