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' � - ^' SENDER: <br /> ;� • Complete items 1 and/or 2 for additional services. I eISO wiSh t0 receive the <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 feel: '> <br /> � return this card to you. � <br /> m y <br /> > • Attach this form to the front of the mailpiece,pt an the back if space 1. ❑ Addressee's Address N <br /> .�. does nat permit. r,, <br /> L • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ RestriCted Delivery �' <br /> .+ • The Return Receipt will show to whom the article was delivered and the date .m <br /> c deiive�ed. Consult postmaster for fee. � <br /> � 3. Ar ' le Addressed to: 4a. Article Number � <br /> m c <br /> m ��� :,> /�'7 ��/c�.�- ��� � <br /> " � � � 4b. Service Type °1 <br /> �� ,,, � �� � �G�• �' ❑ Registered ❑ Insured � <br /> -`'` P 1�7 8 9 2 �14 � ���� ��C�, ��3�-�, `�Certified ❑ Coo y <br /> Receipt for � � b Express Mail ❑ Return Receipt for � <br /> Merchandise � <br /> - Certified Mail i � <br /> � No Insurance Coverage Provided ! 7. Da of Deliveri ' <br /> �sr�o��.� Do not use for International Maii � �, <br /> ISee Reverse `- 5. i ee) 8. ddressee's Address(Only if requested Y <br /> se„t B, 1 � 1� , and fee is paid) L <br /> �o <br /> � a� F <br /> sv�E��� �vo • . Signature (Agent) <br /> p _ /� ; <br /> '>°, te���z'P � � PS Form 3811, December 1991 tr U.S.G.P.O.:1982-307-530 DOMESTIC RETURN RECEIPT <br /> .,.53� ' <br /> Pos[age � <br /> $ �.2� <br /> Certifled Fee <br /> .� <br /> Special Delivery Fee <br /> Resvicted Delivery Fee <br /> � Re[um Receipt Showing <br /> Q� to Whom&Da�e Delivered , � <br /> � Return Recelpt Show�ng ro Whom, <br /> e Date,and Ad ress <br /> 7 <br /> � TOTAL Ft � �� ���� <br /> O &Fee \ <br /> � Post or � � � <br /> o � ��~/ <br /> a ��cp5 <br /> �'m <br /> v <br /> � W � � � � <br /> a ° � � m r� ° � rb <br /> ��� <br /> � - �°� � � � `� <br /> .� C� > � � � � v> � --_ <br /> iU 0 G U � �, <br /> ° <br /> � � � c°�i � w � � �, � �'��:�� <br /> y c p <br /> � a� � ' a'�i � dj g, � -,.,-y <br /> RJ �� �"� a o�N � �p L� <br /> i� y 0� � o <br /> V V C C d c� m LL 3.d a� j ,��. <br /> ..17 � � p p d a v � op � dty . <br /> (U �.V Z�N � .�a > � N� �lJ� `� � :; <br /> �' , z `m m > � .�� . � ,- �,,. <br /> n � � � <br /> .���;� <br /> a �� o� �� �, � � � � � E � ~y � ,�,: <br /> � d Q N �w q � t C � E <br /> 0 �( " 3 � <br /> �� �n in a�` a° U tn ¢ ¢° ¢p�' �al d ' <br /> L661 eun� '��$E w�o� Sd <br />