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SENDER: • . . .. • • <br /> V ceive the <br /> y • Completeitems 1 and/or addi _ <br /> y Complete items 3,and 4 following s s (for an extra ai <br /> U) • Print your name and addr the reverse of this form so that we can <br /> d return this card to you. fee): L <br /> N • Attach this form to the front of the mailpiece,or on the back if space 1. El Addressee's Address <br /> does not permit. <br /> tv *' <br /> C Write"Return Receipt Requested"on the mailpiece below the article number. G <br /> 2. [1 Restricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date V <br /> c delivered. Consult postmaster for fee. m <br /> 3. Article.Addressed to: 4a. Article Number <br /> �! 4b. Service Type <br /> v � ykt ❑ Registered ❑ Insured° <br /> yV Certified El 5 <br /> LU ❑ Express Mail E] Return Receipt for <br /> o G q r3/ 9 Merchandise <br /> 7. Date f Delivery <br /> Z-Ct <br />;:, 5. Signature (Addr see) 8. Addressee's Address(Only if requested Y <br /> and fee is paid) <br /> F r <br /> 6. 94nature F' <br /> 0 <br /> H PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT <br />