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SENDER: I also wish to receive the <br /> ■Complete!tams 1 and/or 2 for additional services <br /> 40 ■Complete Items 3, 4a,and 4b following services (for an <br /> 0 ■Print your name and address on the reverse of this Form so that we can return this extra fee), <br /> 2 card to you <br /> 0 apAtttacc i IN a form to the front of the mail piece, or on the back if space does not 1 ElAddressee's Address <br /> d ■Wnte'Return Receipt Requested'on the mallplece below the article number 2 ❑ Restricted Delivery <br /> ■The Return Receipt will show to whom the article was dellvered and the date <br /> o delivered Consult postmaster for fee <br /> 3. Article Addressed to: 4a. Aaicle Number <br /> CL <br /> E f ` • 4b Service Type <br /> ❑ Registered t - Certified <br /> Im <br /> f ❑ Express Mail ❑ insured <br /> o ,Retum Receipt for Merchandise ❑ COD <br /> a 7 Date of Delivery <br /> z i �_ �UG 0 <br /> 5. Received By (Print Name) B. Addressee's Address (Only if requested <br /> and fee is paid) t <br /> fi Signatur • (Addressee or Agent) <br /> H X <br /> PS Form 3811, Decem r 1994 Domestic Return Receipt <br />