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ir.. <br /> '4 ._419 8$0 947 s <br /> r Rece1pt-foF-1-> . <br /> Certified Maif fi <br /> No Insurance Coverage Provided <br /> Do not'use for International Mail ` + <br /> (See Reverse) —a5. <br /> Sent to <br /> Street and( No. <br /> P.O.,State.and Zlp Co e <br /> CAg5a6 i <br /> Postage <br /> Certified Fee - <br /> Special Delivery Fee -• - <br /> Restricted Delivery Fee <br /> 6 Return Receipt Showing <br /> " 0) to Whom&Date Delivered ' <br /> - - ai Return Receipt Showing to Whom, <br /> r- Date,and Addressee's Address <br /> 70TAL Postage ; <br /> O & <br /> Fees y s - - �. <br /> Postmark or Dateco <br /> P , <br /> E �. s <br /> a <br /> CL <br /> • ER: Complete items 1 and 2 when additional s rvices are de rrod, and-Vomplete items <br /> ag—aW. <br /> Put your address In the "RETURN TO"Space on the reverse side.Failure to do this will prevent this <br /> card from being returned to you.The return receipt fee will provide ou the nems of the arson delivered <br /> to and the date of deliver .Fora Itrona ees t e o owing servrces are aval a e. on master <br /> or teas an c ec ox es for additional service(s) requested. <br /> 1. ❑ Show to whom delivered,date, and addressee's address. 2. ❑ Rest icte a ivery <br /> (Extra charge) (Extra charge) <br /> 3. Article Addressed to: 4. Article Number � <br /> Type of Service: <br /> f--� ❑ Registered ❑ Insured i <br /> n /) �`( Certified ❑ COD . <br /> ❑ Express Mail ❑ Return Receipt <br /> for Merchandise <br /> 4 gobtainsignature of addressee <br /> oragent <br /> C//lA��i"nt��f-•� ora ant andnd DATE DELIVERED. <br /> 5.' gnature —Address 8. Addressee's Address (ONLY if, <br /> requested ee paid) <br /> i <br /> 6. Signature — Agent <br /> X <br /> 7. Date of Delivery ry c <br /> WL, <br /> PS Form 3811, Mar. 1988 * U.S.G.P,O. 1988-212--885 DOMESTIC RETURN RECEIPT i <br /> I <br /> I <br /> i <br /> - I <br /> I <br /> i <br /> i <br /> v� <br />