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._. 4r_ <br /> i <br /> v $E ate i ms 1 an or 2 for additional services I also wish to receive the <br /> H ■Complete items 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on t reverse of th a an r tum this <br /> card to you. extra fee): u 1. <br /> 0 ■Attach this form to the front of t e ail 'e o he as t 1. dress T <br /> 2 permit. Z <br /> d ■Write'Retum Receipt Request 'on to t rticle nu r. 2. ❑ Restricted Delivery N <br /> �« ■The Return Receipt will show to the article w s delivered and the date ., t <br /> -� delivered. Consult postmaster for fee. LL <br /> ,-� <br /> 4A Article Number _ d <br /> AWN WIL UCLUSIN <br /> • pC c + <br /> UNITED STATES OF AMERICA '4b.Service Type <br /> GENERAL SERVICES ADMINISTRATION ❑ Registered Certified CD <br /> 450 GOLDEN GATE AVE (9PMC) 4TH FL 4'-40 Express Mail ❑ Insured S z <br /> SAN FRANCISCO CA 94102-3400 '90 Return Receipt for Merchandise ❑ COD - <br /> 7.Date of Delivery w a <br /> MIT 2 3 1997 <br /> c <br /> �Ir 5.Received By:(Print Name) 8.Addressee's Add s (Only if requested <br /> WI and feelspaid) cc <br /> ggg'lll 6.Signature- (Addressee o gent) ~ <br /> �. X fT <br /> �. <br /> PS Form 3811 Aecember 1994 omestic Return Receipt <br /> AWN- ;WIL UCLUSIN � it <br /> UNITED STATES OF AMERICA <br /> GENERAL -SERVICES .ADMINISTRATION 4 <br /> 450 GOLDEN GATE AVE (9PMC) 4TH FL <br /> SAN FRANCISCO CA 94102-3400 <br /> Postage <br /> Certified Fee a <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> L <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> II' n Return Receipt Showing to whom, <br /> Q Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees <br /> tD Postmark or Date <br /> E <br /> a <br />