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n I also wish, to receive the <br /> tnitr,4�.R+servc 1 or an extra <br /> 'C p ndlor?far additional services. #��1��II. � �A �L� <br /> omplete items 3,and Ore§'b. a m so th we can co <br /> 1 Address <br /> Address <br /> r�lS , Print your name and addresgon a my�t5e if pace .r <br /> 4 a <br /> d return this card to you. 2 [] Restricted Delivery <br /> 9 . Attach this form to the front o§ <br /> m does not permit, on the below the article number. <br /> tRequestd' Consult postmaster for fee. cc <br /> m . Write"Return Receipt C <br /> Is <br /> . The Return Receipt will show to whom the article was delivered andtheArticllee/Nu�q, <br /> 0 delivered. <br /> m <br /> .0 3. Article Addressed,tR' � <br /> ------ — <br /> qb. Service TYPe ❑ Insured w <br /> a JERRY '400LSEY CORPORATION—CA ❑ Registered COD <br /> HYpONEX CORPO �Certifie � Return Receipt for 3 <br /> 0 1412 SCOTTSL�'WN 4 D ❑ Express Mail ❑ Merchandise �o <br /> w MARYSVILLE OH 7. Date of Delivery` G.. <br /> P/ a <br /> ct ` <br /> 0Address(Only if requested r <br /> O g .Address e ) W <br /> Q and e s <br /> 5. Signature (Addressee) F- <br /> F- `�/ ✓ <br /> LU g, Signature (Agent( RECEIPT <br /> a *U.S.GPO:1993-3`2.714 DOMESTIC RETURN <br /> > PS Form 3811, December 1991 <br /> H <br />