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• i . <br /> • � <br /> t <br /> ^' SENDER: <br /> °' I also wish to receive the <br /> � Complete items 1 and/or 2 for additional services. <br /> y • Complete items 3,and 4a&b. following services (for an extra � <br /> y • Print your name and address on the reverse of this form so that we can <br /> m return this card to you. fee�: �� <br /> � • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address y <br /> � does not permit. <br /> •+ <br /> L • Write"Return Receipt Requested"on the mailpiece below the article number. 2 � ReStriCted DellVefy �' <br /> «� • The Return Receipt will show to whore�he srticle was delivered and the date �m <br /> o deii�ered. Consult postmaster for fee. d <br /> �o <br /> 3. Article Addressed to: 4a. Article Number � <br /> m 1��,�,� ' I� i�7 �� a- � I 3 � <br /> £ 4b. Service Type � <br /> � ,��a�` ��� / � ❑ Registered ❑ Insured � <br /> /�-� <br /> v� �1 Certified ❑ COD 5 <br /> W A�, �,j 35� ❑ Express Mail ❑ Return Receipt for � <br /> �� V���: i/N Merchandise � <br /> p � ' � 7. Date Rf Delivery � <br /> Q _ .� � <br /> z �1 �� �. <br /> K 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y <br /> � and fee is paid) � <br /> �� 6. Signature (Agent) � �' <br /> a �.� <br /> � PS Form 3817, December 1991 tr U.S.G.P.0.:1992-307-530 DOMESTIC RETURN RECEIPT <br /> P 137 892 813 <br /> � Fteceipt for <br /> Certified Mail <br /> � No Insurance Coverage Provided <br /> ;�s�ieo Fra*KF Do not use for International Mail <br /> � (See Reversel <br /> sy{i�;o � . � <br /> U <br /> s«<>>�,�„��Na � � � <br /> � <br /> �� „_ ;> > �,,,, <br /> M� �535 <br /> �s�,,�� <br /> ,S a,�j <br /> CerGfled Fee <br /> . O�+ <br /> Special De��very Fe�r <br /> Hestricted Delwery Fee <br /> � ,,� Retum Recelpt Showing <br /> ��� to Whom&Date Delivered �. e7t <br /> � Return Rece�ct Snowing to Whom, <br /> C Date,and nntlre--� ' Address <br /> � <br /> � &F es P �j�� � <br /> sj .'� • $ .,z,. �� • <br /> � Post adk r D <br /> �� � 8 1 <br /> � 1aa� <br /> � <br /> a ��;`� �v� <br />