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m SENDER: <br /> •Complete Items 1 and/or 2 for add[uonal services I also wish to receive the <br /> H ■Complete items 3, 4a, and 4b. following services (for an <br /> aPrint your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you <br /> ■Attach this form to the front of the mallpiece, or on the back if space does not <br /> permit Address <br /> L permit <br /> ■Wnte'Return Recarpt Raquestad'on the mailpiece below the article number 2 ❑ Restricted Delivery W■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee <br /> 0S <br /> 3. Article Addressed to. _ rr 4a Article Number <br /> "^ �� hT i E <br /> E yl; ]%,j P. ,A,�v, j it � �")YJ t� I +``�,r, t 4b Service Type � <br /> v JA I <br /> ,r' n ❑ Registered Jt Certified � <br /> ❑ Express Mail ❑ insured 5. <br /> Return Re pt for Merchandise ❑ COD <br /> D <br /> a 7. Dae 9f D ive <br /> 0 <br /> 5 Received By: (Print NamV $. ddr ae'Tdress (Only if requested <br /> n} �� and ee is p <br /> 6 Si nate e. Addressee or Agent) <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />