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0 <br /> SENDER: <br /> '13 ■Complete Items 1 and/or 2 for additional servlces I also wish to receive the <br /> 3 ■Complete nems 3, 4a, and 4b following services {for an <br /> N <br /> ■Print your name and address on the reverse of this form so that we can return this extra feat': <br /> card to you <br /> aAttach this form to the front of the maiipiece, or on the back If space does not 1. ❑ Addressee's Address <br /> permit <br /> aWrite'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> aThe Retum Receipt will show to whom the article was delivered and the date <br /> delivered Consult postmaster for fee. <br /> 3. Article Addressed to. 4a. Article Number <br /> i lrf M0 .i lCL <br /> � • �, �� ,� r-j `�� �_ � E <br /> c <br /> ' M ; 4b. Service Type ' <br /> �� � 9 1E ❑ Registered d Certified <br /> L} ' }rr <br /> ( J ' Express Mall ❑ Insured E <br /> W a <br /> ))I <br /> 33etum Receipt for Merchandise ❑ COD <br /> 7. Date of Dellvery $ <br /> z <br /> 104� a <br /> 0 <br /> 5 5. Received By. (Print Name) 8 Addressee's Address (Only If requested <br /> W and fee is paid) <br /> rr <br /> 6. Signatu ( ddress Agent j <br /> a°. X <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />