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9 SENDER: I also wish to receive the , <br /> y • Complete items 1 and/r additional services. following as (for an extra m <br /> • Complete items 3,an �� 5. <br /> O n the reverse of this form so that we can fee): <br /> • Print your name and a <br /> m <br /> 0 return this card to you. or on the back if space 1. F-1 Addressee's Address y <br /> • Attach this form to the front of the mailpiece, a <br /> m 2. ❑ Restricted Delivery 'F <br /> does not permit. <br /> m . Write"Return Receipt Requested"onthe mailpiecebelow the article Consu It postmaster for fee. Cm <br /> r . The Return Receipt will show to whom the article was delivered and the date <br /> 4a. rt mer, E <br /> C delivered. lal 0 <br /> G 3. Article Addressed to: <br /> V cc <br /> m <br /> --- 4b. Service YP 0 Insured rn <br /> G Registered <br /> E LANDMARK PPI SALES q ertified ❑ COD <br /> V ;TTN: BRUCE BUTHERLANC Express Mail ❑ Return Receipt for <br /> Merchandise0 pj3 BOX V' w <br /> ¢ f--TQR. L53 7. D te,.Qf Delive v o <br /> O <br /> Q <br /> S. Addressee's Address (Only requested <br /> 5, nature (Ad as e 1 and fee is paid) FL- <br /> cc <br /> W <br /> Signature Ag tl <br /> 7 <br /> 0 pS Form 3811, December 1991 <br /> RU.S.GP0:1662—J2& DOMESTIC RETURN RECEIPT <br />