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SEN ER: <br /> d <br /> a ■Compl to items 1 and/or 2 for additional services. I also wish to receive the <br /> ■� ■Compl to items 3,4a,and 4b. following services(for an <br /> y ■Print y ur name and address on the reverse of this form so that we can return this extra fee): <br /> card tc you. ai_ <br /> j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address j <br /> permit <br /> y ■Write' etum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> e deliver d. Consult postmaster for fee. <br /> a 3.Article Ad ressed to: 4a.A cle Number c", <br /> E Vo �/��� ,/', �CA <br /> 4b.Service Type <br /> a (�� ❑ Registered Certified <br /> N �G ❑ Express Mail <br /> ❑ Insured j <br /> LU u' /C Return Receipt for Merchandise ❑ COD <br /> _ 7. Datg0 Delivery ° <br /> • 5.Received By: (Print Name) 8.A dressee's Addre (Only if requested = <br /> w and fee is paid) m <br /> � s <br /> 6.Sign ture: (Addressee or Agent) <br /> PS Form 3811, D ember 1994 Domestic Return Receipt <br />