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v W <br />3. icleAd ressedto: ' / 7008 3230 0002 7253 4914 <br />to' r 4/ V cy ue3 <br />E s Po i4e <br />N <br />rn <br />w <br />cc <br />D <br />G <br />z <br />cc <br />cc I- <br />w <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write'Return Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />P , Bo� 99 <br />fog3o <br />5'Received By: (Print Name) <br />g 6. Signature: (A,'• • e or Agent) <br />, PS Form 3811 • <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />ai <br />1. ❑ Addressee's Address <br />Z <br />2. ❑ Restricted Delivery v, <br />Consult postmaster for fee. ° <br />_O <br />4b. Service Type d <br />❑ Registered ertified cg, <br />❑ Express Mail ❑ Insured E <br />❑ Retum Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />•r4 — 2 —/08' <br />•M�- - o�7 <br />E-16-11 <br />'DAJ <br />0 <br />8. Addressee's Address (Only if requested <br />and fee is paid) .2 <br />t— <br />Domestic Return Receipt <br />