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W <br />cc <br />a <br />z <br />cc <br />0 3. rd le Addr sec t f • 7 ,;: a.s <br />30 4 f 2 s d ,;7, <br />AD. a' <br />5. Received By: (Print Name) <br />t eat)ir C .o J e- c), <br />3 6. Signature: (Addressee or Agent) <br />• X <br />Ot <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 ca <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if s <br />permit. <br />• Write 'Return Receipt Requested' on the mailpiece below th <br />• The Return Receipt will show to whom the article was delive <br />delivered. > <br />PS Form 3811, December 1994 <br />70 <br />I also wish to receive the <br />following services (for an <br />extra fee): ai <br />1. ❑ Addressee's Address 9- <br />fr <br />❑ Restricted Delivery <br />suit postmaster for fee. a <br />7253 4938 <br />r <br />4b: 5e?vlos Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of <br />❑ Certified <br />❑ Insured <br />8. Addressee's Address (Only i i requested <br />and fee is paid) <br />Domestic Return Receipt <br />M_ / 99 z- Job <br />- 1V - Z0// - 0)7 <br />• esi-4 L O-A-d <br />-AF;' kiJr <br />1/4/t <br />- 17vA4-t <br />NAIIS <br />u, <br />