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awe <br /> 41 'mak .t— w- .♦ / 4 <br /> 1 E T <br /> SENDER: <br /> o�ete nems 1 arxuor 2 for additional services. I also wish to receive the <br /> { ■Print W We name aim add�on the reverse of this form so that we can return this eldl 8Wfee}seryices(for an <br /> card <br /> to you f <br /> II ■Attach this form to the front of the mallpiece,or on the back if space does not 1, <br /> pem�• ❑ Addressee's Address <br /> o ■write Return Receipt <br /> ceipt w Requesrrad'on me mallpiece below the article number. 2.❑ Restricted Delivery <br /> I e <br /> delivered. Receipt wfu show m whom the arhde was delivered and the date <br /> 3.Article Addressed to: Consult postmaster for fee, g <br /> 4a.Article Number <br /> 4b.Service Type i <br /> 13Registered Certified <br /> f-A C c( � } is 3 ❑ Express Mail ❑ Insured c t <br /> J ❑ Return Reoept for Merchandise ❑ COD 3 r. <br /> 7.Date of Dehvery. 5.Received sy: (Print Name) t3.Addressee's AddressOi�iy if <br /> turd fee is paid) ( requested Y <br /> f � <br /> 6.Signature:(Addressee or Agent) �c <br /> t S PS Form 3811,December 1994 to25esse-e-0z2s <br /> Ld Q ��`�� domestic Return Receipt <br /> JC- 1 <br /> .t <br />