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i <br /> SENDER: <br /> m sComplete Items 1 and/or 2 for additional services. I also wish to receive the <br /> ■Complete Items 3, 4a, and 4b. following services (for an <br /> H ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you <br /> sAttach this form to the front of the mallpiece, or on the back if space does not 1 ❑ Addressee's Address <br /> L permit. <br /> sZte'Return Receipt Requested'on the madplece below the article number 2 ❑ Restricted Delivery <br /> CsThe Return Receipt will show to whom the article was delivered and the data <br /> delivered Consult postmaster for fee ,.. <br /> o <br /> � 3. Article Addressed to: � C 4a. Article Number <br /> E 4b Service Type <br /> ❑ Registered 15 Certified tt <br /> ❑ Express Mall ❑ Insured S <br /> UJI <br /> f k "i, . ; , r P t �' ��°� ` 'i atum Receipt for Merchandise ❑ COD o <br /> a 7. Date of Delivery 3 <br /> z ° <br /> 5. Received By: (Print Name) 8 Addressee's Address (Only If requested c <br /> and fee is paid) <br /> eel A f� <br /> o6 Slgnatu ( ddress Aganp <br /> a• X <br /> N <br /> P5 Form 3811, December 1994 Domestic Return Receipt <br />