ter'::;• 'k:.. .�'•.'....•:...
<br /> �O
<br /> • a Posts s • 3
<br /> M
<br /> certified Fee / y {:•%:
<br /> Return Receipt Fse
<br /> (Endorsement Required)
<br /> to •• :;'••a, ti;:,:....
<br /> :•i?" Vii):i•-z >�•, .i`.h•:L7., ..h•••••t,: Restricted Delivery Fee .�
<br /> • .• . ...CI (Endorsement Required) C9 � � s
<br /> 7btalPosta Postage
<br /> `.O 0 Z. 9 `1
<br /> ru•• - _ t FU Name(Please Print Clearly)(to be eomplated blerna/br ,�
<br /> �+ Strse4 Apt t or PO Box No.
<br /> •r•
<br /> ;y?...i. i: «•s•: .irn•':✓ '• .�r:i: :a`'!" is?°ty:1 I7'
<br /> C 7:..
<br /> ir-
<br /> .Vii,��:w i.' Y•}t '`i',.'��•�:;
<br /> `•:``.\:•::Vr :\':Y.\�i••Y Y`h:,�. `•`•\�.``\\•'4:�••'.1,,`\"w`1yr,•�t�:Y.' '�:`•h ":R'•``:'`Y�$ t1. /tom L §:rti`::,:;;':v:.Ci��•t��.•�..<:
<br /> Si 4ti:• ,y:",;.•N,•.'":•, .t:; ••Yi'J i.•`w•:ti��`r:•,1L�.h,'.Yw?,;'\�y,.,p'i;:Y.` /•1 i State, �L t,{ Y.•P.• : " •:.
<br /> „•:`;: ��:\•:'7• •'•'�:`'••Y{`r. �Y;.$y •;b�• t,' ;�h�a•;�,{.� :, fi �.�L 27 3 0 'L ^•if•'• •.:�,•:•r::`•:`••:�•3:•:`Si::'r::w
<br /> ;'4i:.'jj .:.`.Y.•. r'i; ,,l :;K`7•'.^ r;•i :`.+:�"�=r: �r,T•,:: "`wlr ,ltJ.t ;'.'�j:r:2.,
<br /> i.
<br /> i;;,
<br /> +�; 1:4:•Y.t;', •.'it +1�it t a... ;i ;,-• ,..,�,,t;..• ,.t a't:4�:
<br /> •.kt .:M,.,;;�,., .,.,.:��.t�:a, ��•{.�p•��):h h }�,• ul a,,.�'�,:�" ,�•,l,<\1, a\,'`�.,:�•h: ;c"VIA.' .k•,...,�'�:,�,'M,i, .,r,N �':,ri��S. .rpi:., ..:�,•` .,,�•y..xi,:•, i{N,q.a,,.ld` ,C•,inat t`^`�
<br /> ?i,i;, P�' id••`;.il n�. `i� y5�.tb ..�.,• ,� aSt t�l.� �'' :�,.a , i�;, •ra,Y..,{ •l, it
<br /> a. �`1• s tsl, t,Y Jut. r.
<br /> .,,, :lit,.`',l`:;F,t�.::`:A';i,'•{•�'iFC!it. .`�t"t �:: •'�t4S '��.ai�1• , ,: 'SiF 1:
<br /> , tNeNr 'Yt 1°, ! �t,. :a •�:,.��• 1 fit,,>•M71i1d1
<br /> ,'•t„ .4 4. r:h ,.I.., i, J' ,M . M}•,. vyi-"v.. :�t; �.. ,�,,.,�h ,�{' �,.:•i,`h,:: �,w.,•,,J,.,.,\, �.i•il,.
<br /> '� ^".t.. l•• ,•i`t ., .i •tih:•.Y.,a•^",h. t -:l^i. :l;:.a, :,i°, •a.+:.;.:,:a.:'�:•:: rti i•<
<br /> ',x, {"` a• �y' ^', i o SENDER: I also wish to receive the
<br /> rs:,;g h :ii•; hty ;.;j.;::' a Complete Items/and/or 2 for additional services.
<br /> H ■Complete Items 3,4a,and ab. following services(for an ,•.--
<br /> m ■Print your name and address on the reverse of this form so that we can return this extra fee):
<br /> i � card to you. m r
<br /> :�'t,4,; ;'aM'F " ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address
<br /> •e, :+, ,i•5;.: ;:�•;t {:z'•:i:;?:;•' m permit. f` t
<br /> ■Write'Return Receipt Requested*on the mailpiece below the article number. 2.❑ Restricted Delivery
<br /> ■The Return Receipt will show to whom the article was delivered and the date N
<br /> p Consult postmaster for fee.
<br />�•' •.. �;'� 1',';w;,.;w:',;.;,.;.:a�w;la,.�„ t„�,,,, delivered. p a��°:,''�'•,'•.
<br />}`;;t:;tti:,C �.i',.11ti•:.i''•:`�1'” 'x'P 1 k'�S,`w":.:y''''ttyt"�+
<br /> �:.: :="• �, Y ;1 "'�i o• 3.Article Addr
<br /> eased to: 4a.Article Number v 4 {��•'.'.�°
<br /> 'h:,'t• :. , m T�� k• d- S�aro L. 70?9 32 ODO ` Ils�6 yyo Y 7..
<br /> :%`ii':`C:t$,ti.. h`!hlk�`:.4':��::�4:.!•n''��`},•°�'"'`•;'"`:'1:;''y``•Y.r!
<br /> :;.. ;:•,: • ?` :: a L.q a 4b.Service Type
<br />�1 ::•ii.;:.�aCh:�`.�:'lj�„i':•C1:C:.fi'.°r::.i:',:�i:�•.:�:u<j h;. h
<br /> ';�;�•i;;,., ,;;a.-":^:•. r. o � L ❑ Registered Certified �•�.: ',`•�
<br /> .r. i.:ti?a':«C;(•.3:;:r1•:•�n7:i:it`: :".i.Y.ip•:c:i,�.g V Q. rt /r G.�
<br /> �J 7 3 U Z ❑ Express Mail ❑ Insured I 1
<br /> .;': r :+ ❑ Batton Receipt for Merchandise ❑ COD
<br /> .r i
<br /> " '':;r•: : 7.Date of Delivery o
<br /> c �
<br /> 5,Received By:(Print Name) 8.Addressee's Address(Only it requested '•
<br /> 'and fee is paid) Imo
<br /> 8.SI nature Addressee or Agent)
<br /> XA
<br /> Form 3811,December 1994 259598.8.0229 Domestic Return Receipt
<br /> r,?.'S,'.•::��; di:';:` •`.tit�;�v�'�i!•:;::�.�•:`v ti�e`:t'.,�tier Fi,�:::y.y�t
<br /> .,�,: :.~h�— w;.,^:\1^!9:• ;.,y,•r .,^,ti•Y P.71"� �.1\r-.M1 vYRV�.,..,•,w�.�,•,
<br /> J..
<br /> h
<br /> at,
<br /> t•h ;:Q•:�'i
<br /> ti hl.
<br /> 41•Y'•
<br /> ;h
<br /> .fi a
<br /> •h
<br /> :•a, •a ...yh
<br /> .lt
<br /> LL ,h:•
<br /> N:
<br /> • '^a\"V.,
<br />
|