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,- $END 1 also wish to receive the <br /> ■CompI andlor 2 for additional services full S ces(for an <br /> y�.ur ■Compl items 3,4a,and 4b. a=:9 'tppT <br /> lu ■print your ame and address on the reverse oft tat e n return this 1tr Ih�77r777// 0 <br /> card to yo . t f. ❑ Addressee's Address ' <br /> m ■Attach thi form to the front of the mailp' or n the ba i 0 <br /> permit. <br /> m ■Write"Rat ReceiptRequested"ant ail o th le 2. ❑ Restricted Delivery N <br /> r ■The Retu ,Receipt will show to who a Cl ive d e date Consult postmaster for fee. <br /> delivered. v <br /> +-� 0 4a.Article Number m <br /> M 3.Article Addressed to: J <br /> `T C <br /> a W- RT RARNM 4b.Service Type <br /> 1Am <br /> E J3 Registered �InSUred <br /> Certified °Cru POBOX 1071 57 �NpItF.AS CA 95249 ❑ ExpressMailm <br /> ❑ Return Receipt for Merchandise ❑ COD $ <br /> o" p 7.Date of Delivery <br /> L7 -2cjf��� 7' <br /> c <br /> Y <br /> t1 6.Addres a 's Address{ n!y if requested � <br /> 5.Received By: (Print Name) and fe is r <br /> s^ ~ <br /> 6.Sig ature: to Be or gent) <br /> Domestic Return Receipt <br /> PS Form 811, December 1994 <br />