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t <br /> SENDER: <br /> • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> N • Complete items 3, and 4a&b. following services Ifor an extra d <br /> y • Print your name and address on the reverse of this form so that we can V <br /> y return this card to you. fee): O <br /> > • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N <br /> 22 does not permit. <br /> L Write"Return Receipt Requested"on the mailpiece below the article number. 2 ElRestricted Delivery i1 <br /> • The Return Receipt will show to whom the article was delivered and the date d <br /> C delivered. Consult postmaster for fee. y <br /> 3rticle Addressed to: 4a. Article Number <br /> /� -- �f%�G�— �/ 4b. Service Type <br /> 0 � U �' ��• ❑ Registered ❑ Insureo qq11 <br /> ertified El COD <br /> Lu !F' <br /> � <br /> CAI �0 , ss3s U Express Mail ❑ Return Receipt for 0 <br /> oMerchandise o <br /> 7. Date of Delivery <br /> i <br /> oZC Si (Addressee) 8. Addressee's Address (Only if requested Y <br /> and fee is paid) C <br /> cc <br /> t <br /> ature (Agent) <br /> 0 <br /> O <br /> V) PS Form 3811, December 1991 r U.S.G.P.O. 1992-307-530 DOMESTIC RETURN RECEIPT <br /> P 137 892 812 <br /> Recei ` for <br /> �*T. Certified Mail <br /> — No Insurance Coverage Provided <br /> u,«TEU STATES Do not use for International Mail <br /> R W SERVICE <br /> (See Reverse) <br /> Sent to f <br /> e and No <br /> do— <br /> ,State and ZIP C e <br /> S.5 97 <br /> Post <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> p1 to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> C Date,and Addressee's Address <br /> 7 <br /> TOTAL Po �l <br /> C kL <br /> &Fees <br /> 00 PostU <br /> VE <br /> USJ-S <br />