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SENDER: <br /> 'p • Complete items 1 endror 2 for additional services. I also wish to receive the <br /> m • Complete hems 3. and 4a&b. following services Ifor an extra 4i <br /> • Print your name and address on the reverse of this form so that we can fee): . <br /> T <br /> O return this card to you. <br /> O Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address fn <br /> does not permit. <br /> O Write 'Return Receipt Requested'on the mailpiece below the article number. ,Q <br /> • The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery <br /> G delivered. Consult postmaster for fee. o <br /> 9 3 Article Addressed to: 4a. Arti Nu b C <br /> a �iC�ttZiHiF o1�0 �P�BI <br /> e �rr�w� y ,tw[,Of <br /> 4b. Service Type <br /> yam`" ❑ Registeretl ❑ Insured <br /> �� Kb C ("Certified ❑ COD <br /> w lQ1C`C'kfDOC�� 5 /� ❑ Express Mail ❑ Return Receipt for 0 <br /> t=Q Merchandise <br /> G 7. Date of Delivery w <br /> T <br /> IQ S. Si nature 1 d ressee) 8. ddressW;s Address (Only if requested Y <br /> z and fee 19 paid) m <br /> H LI <br /> 'C 6. Signat re (Agent) f' <br /> 'S Form 3811, December 1991 nU.s.GPo:faD2�a102 DOMESTIC RETURN RECEIPT <br /> �i <br />