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� 693 087 487 <br /> RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERA6E PROVIDED <br /> NOi FOR INiERNAiIONAL MAIL <br /> (See Reverse� <br /> nt to <br /> Q �. . I' ,}-t'Sf <br /> �"��"�i�Q c�-�-�b:z L.ct Ka. �'���� <br /> State and�lP Code <br /> ` �S 3�3 <br /> Postage� ' <br /> 5 <br /> Certdied Fee I� �� <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt showing • <br /> to whom and Date Delivered t � �` <br /> u� <br /> LJ <br /> p� Return Receipt showing to whom, <br /> CDate,and Addr Delivery <br /> � TOTAL P P� <br /> � ,�. -v s � <br /> 0 <br /> � Post Date` <br /> �M o <br /> LL , , 1�8� �f <br /> . 8 <br /> o t <br /> �°t. <br /> � � <br /> - a �:'',�� ---.-�G <br /> + <br /> r•SENDER: Complete items 1 and 2 <br /> and 4. when additfonal services are desired, and complete items 3 <br /> Put your address in the "RETURN TO" Space on the reverse s(de. Failure to do this wlll <br /> card from being returned to you. he <br /> I'vered to and rti a v� del�verv, e urn ece fee (�� � prevent this <br /> postmaster for fees and check box(es)for addit(onal service(s) requeat de u he n me f <br /> For additional fees the following serv(ces are available. Consult <br /> �• ❑ Show to whom dellvered,date,and addressee's address. 2. ❑ Restricted Delfvery <br /> 1(Extra charge)1 <br /> 3. Article Addressed to: T(Extra chargeJT <br /> �����r�,�� �D I 4,,� Article Number <br /> � � ,,r �1'-f ����PSF� 1 r l � ���� � � �7 <br /> �yQi'� �Y `Y�'l1 Z �A""� �'(.Gl.'4-(��`, TYpe of Service: <br /> ��L ��5� WQU ZQ,��(., � ���.� ❑ Re9istered ❑ Insured <br /> � � Certified ❑ COD <br /> �--�(:ti��zl�`'{'a ; �� �l'� `�`� � j I ❑ Express Mail <br /> Always obtain signature of addressee <br /> 5• ' nature—Addressee or agent and DATE DELIVERED. <br /> X r" C �. ` _._� ' 8• Addressee's Address�ONLYif <br /> requested¢nd fee pQid) <br /> 6. Signature—Agent <br /> X <br /> �. Date of Delivery � <br /> �� ��..5 <br /> PS Form 3811, Maz. 1987 �.��� <br /> * U.S.G.P.O.1987-178_pgg DOMESTIC RETURN RECEIPT <br />