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d SENDER: <br />v ■ Complete items 1 and/or 2 for additional services. <br />E •Complete items 3, 4a, and 4b. <br />a ■ Print your name and address on the reverse of this form so that we can return this <br />d card to you. <br />> •Attach this form to the front of the mailpiece, or on the back if space does not <br />E permit. <br />w ■Write Receipt Requested' on the mailpiece below the article number. <br />r •The Return Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />v 3. Article Addressed to: <br />0 <br />z <br />spc.ocifiuutreo- <br />Was eiDnewanuk <br />030..)\ ZAYY bW,m koa <br />5. Recei ed By: , ( Print Name) <br />g 6. Signet <br />T X <br />t» <br />U, <br />m <br />m <br />m <br />cCI <br />O <br />tP+ <br />PS Form 3800. August 2006 <br />e <br />• <br />See Reverse tor Instructions <br />et <br />State, <br />PS Form 3811, December 1994 <br />U.S. Postal ServiceT,, <br />CERTIFIED MALT:, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit • <br />. ddressee or Agent) <br />Postage: <br />Certified Fee: <br />Return Receip t Fee: <br />(Endo Total Postage & Fees: <br />Restrit. _ _ my ree <br />(Endorsement Required) <br />Total Postage & Fees <br />$1.6 <br />$2.85 <br />$2.30 <br />$6.83 <br />Here <br />(2, Piq (-O33 <br />005A- <br />L-1 s5a <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7008 1140 0004 5015 3054 <br />4b. Service Type <br />V) Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery / <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />