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U.S. Postal Service rr., <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com <br />Postage <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees: <br />(E <br />Restricted Delivery , <br />(Endorsement Requ <br />Total Postage & Fees <br />3. Article Addressed to: <br />14. 4, n n <br />Pa co, `�ok s ri G e <br />co <br />0 <br />PC- zo)C 147 <br />cc 0 <br />z ilv plat Co (4)440 <br />m 5. ceived By: (Print N me) <br />cc <br />w / DVS ipt <br />g 6. igna e: (Addres ee o Agent) <br />a ° . X <br />to <br />PS Form 11, m er 1994 <br />$0.64 <br />$2.85 <br />$2.30 <br />$5.79 <br />See Reverse for Instructions <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write'Retum Receipt Requested' on the mailpiece below the article number. <br />•The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7009 2820 0003 5701 1728 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />(,Certified <br />❑ Insured <br />❑ COD <br />7. Date eliv <br />of e <br />of <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />