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m SENDER: I also wish to receive the <br /> 'a ■Complete items 1 andlor 2 for additional services. <br /> a ■Complete items 3,4a,and 4b. following services(for an <br /> m ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> mcard to you. <br /> •pAtttach this form to the front of the maNpiece,or on the bads it space does not 1.❑ Addressee's Address 2 <br /> ■1Nritne Regan RecW Requested-on theow the article number. 2.0 Restricted Delivery <br /> o ■The Return Receipt will show to whom the�wWow <br /> delivered and the date <br /> delivered. Consult postmaster for fee. <br /> 0 3.Articip Addressed to: 4a.Article Number <br /> M <br /> CL 4b.Service Type r <br /> c �n ❑ Registered Certified <br /> v a <br /> ❑ Express Mail Insured <br /> ❑ Return Receipt for Merchandise ❑ COD 3 <br /> 7.Date of Delivery o <br /> r(�i <br /> 0 <br /> 5.Received By: (P' t Name)� r 8.Addressee's Address(Only if requested Y <br /> /�--- and fee is paid) 0 <br /> t <br /> 6.Signature:( reAgent) ~ <br /> 0 V I <br /> .9 Ps Form 3811,Dece er 1994 1026VWB-Dm Domestic Retum Receipt <br />