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P <br /> $ SENDER: I also wish to receive the <br /> ■Complete items t andlor 2 for additional services. followingservices for an <br /> M ■Complete Rema 3,4a,and 4b. <br /> a� ■Print your name and address on the reverse of this form so that we can return this extra fee); <br /> m card to you <br /> rm <br /> ■Atttachfoto the front of the maRpiace,or on the back if space does not 1.❑ Addressee's Address <br /> permit.this � <br /> ■Write'Return Reoatot Requested'on the meilpiece below the article number. 2.❑ Restricted Delivery <br /> o ■The Retum.Recalpt will show to whom the article was dearrered and the date .. <br /> Consult postmaster for fee, c. <br /> 0 3.Artic :;a3 5 <br /> Ip Addressed to: Article ` /s/ h f , <br /> v`T c <br /> C 4b.Service Type 3 <br /> �/t ❑ Registered Certified <br /> ❑ Express Mail Insured OF <br /> ❑ Return Receipt for Merchandise ❑ COD z <br /> 7.Date of Delivery f F <br /> 0 <br /> 0 <br /> 5.Received By:(P' t Name) 8.Addressee's Address(Only if requested Y <br /> ♦~a f�,._ and fee is paid) <br /> z <br /> 6.Signature:( Agent) ~ <br /> 0 <br /> Ps Form 3811,Decei6er 1 tlato2sss- -s- m Domestic Retum Receipt <br />