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4 <br />4 <br /> <br />- ~. <br />' .~ Postage s .3 <br />- m <br />~ <br />. ~ Certlfled Fvv ~ -/ O /-~ <br />~ •/r ' <br />~ Rvbmt Receipt Fee / 2. / '~~ H <br />l3 <br />d <br />i <br />~l <br />R . <br /> <br />~ <br />- y~~:., <br />( <br />n <br />orsement <br />equ <br />red) <br />• O <br /> <br />- - <br />~'y <br />;;;~`;+ <br />'J <br />Restricted Dally Fee <br /> <br />cry <br />, <br />- .. <br />Q ~ <br /> <br /> <br />(End eq red1 c <br />oravment R ul <br />~ <br /> <br />. ,.... ..... ' ~ \. <br />7krtal Poerrea d Fees $ Z • ~' ~ \ ~ v <br />~ <br />111 •• ~ • ~~ <br />~ : rL Narne (Please Prln! Clvsrly) (Tp be cvmplvtied 6 Ilvr) ~ „ <br />_ _ <br />` ; ,i i <br />~~~... K ~' ..are L. ~ Poo )~f <br />_ <br />......:i.....__ ..__.. <br />" <br />r <br />I <br />' Q-. c• <br />$erevb Apl. , or PO Box N <br />• ' <br />., <br />.:.'. .;.. ,..:• : <br />i,,. ' <br />_ 4 <br /> <br /> <br />- <br />~~_~: <br />~:~~~: N <br />~~\' .\ <br />~ <br />it ~a <br /> <br />m <br /> <br /> <br />~ <br />~ <br />~ <br />f;:.:_.:;~:..::` <br /> <br /> <br /> <br />.,~..; <br /> <br />~ <br />` <br />i <br />` <br />;•.y:.~~h.:~•. ~.~.•• ~•ti.~+.~:F'•:~.~:~~1.v +4\~•4.'•: ~ti\\~.`.~: •~~tir <br />h <br />ti•ti <br />i:;i:'. :'.y~y~:ti`~' :.h!. ~,w~,~ •~ <br />h: <br />~ ~~}2v •^r_~. <br />: /~\t/ <br />T <br />~`Y~ ii <br />.::,, ~•.~:, .,~ <br />=!i'~. <br />w~i <br />.`:•~..~'i •.~.',~;: <br />.. <br />• <br />. <br />. <br />. <br />.. .. ~ .~ <br />a~ <br />. , v .. ~ ~. <br />;:.~~ : ' ill __ .. <br /> +. ` ~. ~ <br />~' : ; m SENDER: I also wish to receive the <br />:,l 'd ^ Complete Items 1 andlor 2 tdr additional services. following services (for an <br />H <br />d ^ Complete items 3, 4a, and 4b. <br />^ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />' ~ <br />~ card to you. <br />or on the back if space does not <br />lece <br />fans to the front of the mail <br />h thi <br />Att <br />1. ^ Addressee's Address v ' <br />~ p <br />, <br />^ <br />ac <br />s ~ <br />+ <br />- r'r f permit. <br />^ Write 'Return Receipt Requested'an the mailpiece below the article number. 2. ^ Restricted Delive <br />ry to , <br />+ rd <br />$ <br />' ^ The Return Receipt w[II show to whom the article was delivered and the date <br />Consult postmaster for fee. <br />S <br />+ <br />' delivered. <br />:;i ~ <br />;;;t<,; i?•:i? i:~~;': ,•'~ <br />~~~~ <br />e <br />,~ <br />Article Addressed ta: <br />3 N mbar <br />4a. Article u y ~•~ <br /> <br />d i. <br />. <br />~' . <br />~FF~ ,!' . d- 7o q ~ a z o 00 0 ~ ~s34- '+lya4 ; <br />;~;;:,; ;;; ~ <br />7 L <br />/L <br />! 4b. Service Type ~ <br /> <br /> <br />E a <br />q h ~. <br />a <br />s of <br />4 <br /> <br /> <br />fi d <br /> <br />Cart e <br />red <br />R isle <br />eg <br /> <br /> <br /> <br /> <br /> <br />x <br />,:. <br />"~ ~•, $ ! <br />~~-~ a'~ + <br />NG <br />^ f=xpress Mail ^ Insured .... <br />~ ~' <br /> J <br />Z7 ~ O Z <br /> Return Receipt for Merchanttise ^ COD ~ ~ . <br />' "'' <br />, 7. Date of Delivery <br /> <br />., ~ ., ~ ~ ... . <br />;i <br />~ qq <br />r ^ V <br />p <br /> 5. Received fly: (Print Name) .. A. Addressee's Address (Only if request®d <br /> ' and fee Is paid) ~ m <br />•i ~ <br />~ <br />'~ ' fi. S1 nature: Addressee or A ant) <br />9 ( 9 :. <br />L <br />i P <br />a ~ ~( <br />+- r <br />P <br />w . <br />Domestic Return Recei t <br />PS Fofm 3811, December 1994 70259~~'B'0~9 p <br />,;, <br />- <br />_ <br />, <br /> , ; <br />- <br />;: <br /> <br /> <br />, <br />::; <br />. e,~ <br />` <br />.~ <br />~ki:~' ,l , <br />, <br /> <br />•t <br />. <br />•;:~; , <br />`••'i'a'a~:~ •„ <br />., ``~1`~ ~~~ <br />;•~ . <br />'~`•~ v <br />~:;1`1 <br />„` <br /> <br />iR`.. <br />. , <br />