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- I <br /> ' may- <br /> .. . .. .... ..... <br /> _ <br /> 1 also wish to receive the <br /> c following services(for an ' <br /> m SENDER: <br /> y ■Complete kerma t and/or 2 for additional services• return this extra fee): a <br /> K w ■Complete items 3,4a,and 4b. of this form so that we can <br /> r ■Print your name and address on the reverse 1•[] Addressee's Address ri <br /> > y back it space does rxrt 2•❑ Restricted Delive <br /> i a Attach this form to the front of the mailpieoe,or on the ry ' <br /> permk- bek the article number. Consult po <br /> ■Write'Retum Receipt Requested' the mailpiece postmaster for fee. <br /> m ■The Return Receipt wtll stow to whom the article was delivered and the date 9ffi� <br /> r delivered. 4a.Amide Number ''rr cc <br /> 3.Article Addressed to Z ��� t (� <br /> Pea r`+y Co <br /> 4b.Service Type [�ertified ¢ r <br /> Registered `�""'� F. <br /> o ( I ❑ Express Mail CL <br /> Gl Insured c <br /> P. <br /> �X `-7�` -�' []fietum Receiptfor Merchandise 0 COD <br /> �LL Las 7.Date of Deli ery <br /> 8.Addressee' Address(Only if requested m E <br /> 5.ReceivBy:(Pr�it Na� and fee is paid) <br /> 6.Signature:(Addressee or ent) <br /> X ,02595-0a-s-o�s Domestic Return Receipt <br /> y PS Form 3811,December 1994 <br /> 01 <br /> J. <br /> i <br /> .- - -...• <br /> i <br /> i <br />