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ai SENDER: I also wish to receive the <br /> ■Complete items 1 and/or 2 for additional services. <br /> m ■Complete items 3,4a,and 4b. following services(for an <br /> ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> .. card to you. ai <br /> > ■Attach this form to the front of the madpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> U <br /> d permit. � <br /> d ■Wnte'Retum Receipt Requested'on the matlpiece below the article number. 2. ❑ Restricted Delivery N <br /> r ■The Return Receipt will show to whom the article was delivered and the date a <br /> delivered. Consult postmaster for fee. m <br /> 0 <br /> -a 3.Article Addressed to: 4a.Article Number m <br /> �1 5 9 Z v-urs- <br /> E 4b.Service Type <br /> ❑ <br /> c /(it,c�d l �'w r 1< Cp✓r3 i✓✓W l U n 12.3 t. <br /> u Registered '®"Certified ¢ <br /> rn �° ft'iv✓a f� SFV%cr e <br /> hu.. ❑ Express Mail ❑ Insured <br /> W <br /> 2 ❑ Retum Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery <br /> Z V % s✓- f �� icc <br /> 5.Received By: (Print Name) S.Addressee's Address(Only if requested <br /> W and fee,is paid) <br /> 6.Sig :(A dresse drAgent) <br /> H � t1 <br /> PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt <br /> L� <br />