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® 0 Be <br /> S ®Complete ROM 1 or 2 for additional services. B also wish t0 receive the <br /> ■Pt,�mpl�e trams a aa, 4b. following services(for an <br /> card your name arrc!ars! on the reverse of this form so that we can return this <br /> > ■Attach this tome to the front of the i naliplece, <br /> or on the back if space does not <br /> extra fee): <br /> a permit. . 1.❑ Addressee's Address <br /> ®�Re m Rept tviaW d w t the <br /> anipa waside veered and number. <br /> hea re ° <br /> ® delivered. <br /> 2•13 Restricted Delivery � . <br /> 3.Article Addressed to: Consult postmaster for fee. o• <br /> 4a.Article Number <br /> JCL ��i I��rr�r� t.r7ly e Z. Z S(A 1 _2 g <br /> ° 0 11 ftrvliA W e,S to 4b.Service Type <br /> n "L�i YtS ` Cl'. <br /> ��j p ❑ Registered PCertified IT <br /> , Oox o q f QU) ❑ Express Mail ❑ Insured m <br /> ® L[)(�r (9/� �5�� Ci��� ❑ RetumReceipt for me se ❑ COD <br /> 7.Date of Delivery <br /> 0 <br /> S.Received By:(Print Nems) 8.Addressee's Address(Only!/requested <br /> ac <br /> and fee is pafd) <br /> 6.Signatre:(Add ee or Agent) / <br /> PS Form 3811,De r 1994 <br /> 102595-97-8-0179 Domestic Return Receipt <br /> G irate it" •` <br /> UNITED STATES POSTAL SERVICE A'J, <br /> F _ ,PestagfiA5ees'Pe <br /> -Permit.illo..G-10,. <br /> • Print your name, adfress;rand ZIP Coderrttfils -o � �" <br /> C W R i WSLrirsj 2� <br /> n <br /> 8 <br /> 1 r <br /> 04 <br /> 79,98 <br /> .. .. �{air„'r�een�e�eRea�ae���te�a{tE�ra�a�eaa�Eae�t'aee�la,aee��l <br />