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111- I II I II I II IIII III <br />999 <br />o SENDER: <br />a_ .Complete items 1 and/or 2 for additional earviue. I also Wish t0 rBCBIVB ihB <br />o ~My <br />e l <br />` tOIIOWIng 9arVICBS (for Bfl <br /> •P <br />ou <br />neme end eddree <br />e on the rewme of this brm w mat we can return Ihie BXtrB tBBi: <br /> ratl to ycu. <br />j .Attach this brm to the hoot d the meilplece, or on the berlc if space does not 7, p AddresSBB's Address <br />~' permit. <br />n •Wdte'ASium Aewipt Aequested'on the mespiece below the onicle number. 2. ^ RBSIdC[ed DBIIVBfy <br />~ .The Return Receipt will show to whom Ula elide was dalivemd entl the date <br />o aelivered. nsult <br />C <br />o <br />p <br />os <br />trnester for <br />tee <br />. <br /> <br />ru'cSAddress <br />3.A <br />nedto: <br />/ <br />~~ <br />} <br />~'~ <br />as racle,M <br />r <br />y <br />p <br />`~ <br />' <br />~ <br />/ <br />~ <br />- <br />~ <br />' <br />- <br /> ~ <br />^ - <br />p <br />/ <br />, <br />t,4 <br />l <br />- C <br />T JIO /O <br />~./ <br />E <br />E <br />E 4 . Servie <br />e <br />Type <br />~C U ~ ' ~-Ql~.nlq-{ ^ Registered <br />CUf C ~ ^ F~press Mail <br />J v ^ Return Receipt <br />~~ (~i - p D~-r5 ~ 7. Date of Delive <br />5. Received By: (riot Name) 8. Addressee's / <br />Certified <br />^ Insured <br />for Merchandise ^ COD <br />aril (9e IS paM) <br />a. 6.,I~C~ssee Oy L(.~ <br />u <br />Y <br />N <br />_G <br />¢° <br />e <br />¢° <br />e <br />T <br />Y <br />C <br /> <br />Fs1="orm 3811, December 7994 10259S9LB-01]9 Dornestic Return Receipt <br />