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i. <br /> P 137 892 807 <br /> Receipt for <br /> Certified Mail <br /> No Coage d <br /> �� Do not use for Insurance InternationalverProvideMail <br /> OSTEU ST•TES <br /> PO�TIK SERVCE <br /> (See Reverse) <br /> sit tit n; G /: . _ u ////rc, <br /> Strgesa5d No0 rej jar", <br /> p6u ICS <br /> 'Rd <br /> Pp..QGp Sate and,ZlP C,e h 0 ss <br /> i/� <br /> 'Postage Li $ :92-q <br /> Certified Fee /' 00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> , Return Receipt Showing /, CJ <br /> W to Whom&Date Delivered <br /> si— <br /> Return Receipt Showing to Whom, <br /> sDate,and ••. -sseV `-ss <br /> TOTAL'.s,eF r• $ a. a 9 <br /> O &Fee-\� i l W <br /> 20 Post a .r D es <br /> E 1gg9 <br /> LL ttcc•S <br /> 0 S\ <br /> d <br /> SENDER: "' <br /> d <br /> :o • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> H • Complete items 3,and 4a&b. following services (for an extra 6t <br /> y • Print your name and address on the reverse of this form so that we can fee): '> <br /> aj return this card to you. <br /> > • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address jj <br /> F. does not permit. <br /> Y • Write"Return Receipt Requested"on the mailpiece below the article number. 2. CIRestricted Delivery 11 <br /> • The Return Receipt will show to whom the article was delivered and the date a7 <br /> c delivered. Consult postmaster for fee. d <br /> cc <br /> •p 3. Article Addressed to: es, 4a. Article Number <br /> at 7 E <br /> g Dr � Pyr K ko 4b. Service Type cc <br /> o Q C 171 Registered ❑ Insured <br /> U . <br /> 2' r_ e( Certified CI COD"`��Lcc � '�-�` i �� ` J" Return Receipt for o <br /> Express Mail ❑ P <br /> Merchandise <br /> / , r 7. Date of Deliver :2 <br /> cC 5. oaatU A dr ssee 8. Addressee's Address (Only if requested Y <br /> H and fee is paid) o <br /> m <br /> t <br /> ccl 6. Signature (Agent) <br /> o, aJw <br /> es FS Form 3811, December 1991 si U.S.G.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT <br />