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SENDER: I also wish to receive the <br /> ■Complete items 1 and/or 2 for additional services. F <br /> ■Completeltems 3,4a,and 4b. following services(for an j <br /> Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address E <br /> permit. 02 ! <br /> a, <br /> -Write'Return Receipt Requested'on the mailpiece below the article number. Q. ❑ Restricted Delivery y f <br /> r ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. <br /> c 'o . <br /> 3.Article Addressed to: 4a.Article Number <br /> 9I �� g73 it <br /> a —Tck 1,1 I C IV e T e <br /> E y . <br /> u Registe d 'Certified ¢ <br /> w {j I �C� N' `� w AY 9A}�r ❑ Insured S <br /> (n c . <br /> W ' n to <br /> o SGC.f GMc N � (-�' � El Return for Merchandise El COD <br /> �j S�17 De ery �}— <br /> Z o�3 - / O <br /> M 5.Re ed By: (Print 8.Addressee's Address(Only i/requested <br /> W and tee is paid) _ <br /> 6.Signature: (Addres a or Agent) <br /> a X <br /> m <br /> PS Form 3811, December 1994 Domestic Retum Receipt ' <br /> P 291 488 873 <br /> US Postal Service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mailsee reverse) <br /> Sent to -d <br /> ON c� L (Y) <br /> '+•� RJ <br /> �reet S Number n wa <br /> R6 e to nY <br /> Post office,State, ZIP Code a 5 <br /> S G t }O <br /> Postage $ S� <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> DReturn R 9� / <br /> Whom S� �9 <br /> a Return <br /> Q Date,6 ee's Addr <br /> TOTAkPo geCID I <br /> D <br /> Postma or Date.�� <br /> bspq <br /> C <br /> CL <br />