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c`• SENDER: <br />0 ■ Complet items 1 and/or 2 for additional services. <br />m <br />•Complete items 3, 4a, and 4b. <br />■ Print your name and address on the reverse of this form so that we can retum this <br />lc card to you. <br />N •Attach this form to the front of the mailpiece, or on the back if space does not <br />e permit. <br />• •Write'Retum Receipt Requested' on the mailpiece below the article number. <br />5 •The Retum Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />v 3. Article Addressed to: <br />d <br />0. <br />- LAker\A05/ v' k\ <br />co <br />W <br />cc <br />G a rO V 1. <br />D <br />z / <br />▪ 5. Received By: (Print <br />W <br />cc <br />g 6. Signature: (Addressee orA§ant) <br />• X <br />w <br />PS Form 3811, December 1994 <br />7. Date of Delivery <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 0349 <br />4b. Service Type <br />❑ Registered . _ : Certified <br />❑ Express f�air∎ -. %,I �J�sured <br />off ,. <br />❑ Return Receipt for Merchandise, tCOD <br />8. Addressee's Address (On lyvf►equested <br />and fee is paid) <br />Domestic Return Receipt <br />• M -zoo‘- d/d <br />- - //, <br />GJII <br />N o f cs_ o l� <br />ro7A/u44) (0.-(7(44 <br />ti" <br />• ��y <br />4-c' D M$ <br />