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`1J8��t`,°5 <br /> �u/Grd Z 130 086 85-8 ..,.,.r„ <br /> US Postal Service <br /> Receipt for Certified IRait T—r- <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse �= <br /> Sent to //�� <br /> �f/i <br /> Street&Number <br /> Post Office,State,&ZIP Code p <br /> - <br /> Postage $ 9 <br /> Certified Fee / f <br /> Special Delivery Fee s a <br /> Restricted Delivery Fee <br /> LO <br /> Retum Receipt S <br /> Whom&Date <br /> a Retum Recei o Whom, <br /> Q Date,&Add ss A ress <br /> O TOTAL Re aD & <br /> Postma Korate7IT- <br /> ELL <br /> i . .X <br /> SENDER: I also wish to receive the <br /> ■Complete hems t and/or 2 for additional services. following services(for an <br /> ■Complete Reins 3,4a,and 4b. <br /> ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card royou <br /> ■Attach this form to the front of the mellpiece,or on the beat R space does not 1.❑ Addressee's Address � <br /> pemN. <br /> ■Wrfte•Return Receipt Requested•on the mallpiece below the artkRe number. 2•❑ Restricted Delivery <br /> a The Return Receipt will show to whom the article was delivered and the date delivered. 1 Consultpostmaster for fee. S <br /> 3.Article Addressed to: 4a.Article Number <br /> ,D�•r 7'-Al l'rc., �7 <br /> �G V,r� nf. �Q( 4b.Service Type E <br /> ❑ Registered Certified p <br /> ❑ Express Mall ❑ Insured <br /> ❑ Return Regeipt for dise ❑ COD z <br /> 7.Date elivery <br /> 5.Received By:(Print Name) 8.Addressee's Addregs(Only if requested <br /> and fee is paid) C <br /> 8.Signature:(Add or Agent) <br /> x I r l r' <br /> s Ps Form 3811,December 1994 ;o2s95-se-s-o2n Domestic Retum Receipt <br />