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Ali <br /> S I also wish to receive the <br /> �w 9 fete s 1'an dlor 2 far addiGo services. folfowin services(for an <br /> rn COMP ate items 3,4a,and 4b. his fo ca e m is gxtra f�231W 1W y <br /> w ■Print your name and address on the r �� <br /> card to you. 1. ❑ Addressee's Address <br /> Wt ,.Attach this form to the front_of the m ilpi m <br /> 'PefR11t. • � r„ .pie <br /> ■Wnte'Retum Receipt Requested'on the mailpiecs below the article number. 2. IJ Restricted Delivery a <br /> +The 'Perueturn Receipi will show to whom the:a tide"was delivered and the date Consult postmaster for fee. d <br /> delivered. <br /> Q oOce Number Cc <br /> ru 3.Article Addressed to:6 <br /> J� <br /> v M <br /> C+1am 4b.Service Type m <br /> Ln'C2 C ML 13Y LR Certifi d °C <br /> ru ❑ Registered �+ m <br /> s °u iUI'.JPiiT- A SOCLULS i - Insured <br /> ❑ Express Mail Ate. �� <br /> 436 :N MURAL A� y ❑ RetumReceipt f Met'gha�se�CSTL"0 <br /> S1OC��ON CA 9204 <br /> 7.Date of Delivery r T <br /> rrl <br /> to y�,ddi-ess(OdI Ifyrsquest�ed <br /> 5.Received By: (Print Name) and f e 's pald). Vr' r <br /> to <br /> 6.Signature: ressee OF wilt <br /> a f omestic Return Receipt <br /> .:. <br /> •� s Form 3811, Dece Or 19 4 <br />