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r• <br /> e1 SENDER: I also wish to receive the <br /> v <br /> N • Complete items 1 and/or 2 for additional services. f0110W1ng seNlOes (for ISh a%Lf8 V <br /> N Complete items 3,and 4a&b. •j <br /> • Print your name and address on the reverse of this form so that we can feel: <br /> N return this card to you. N <br /> y Attach this form to the front of the mailpiece,or on the back if space <br /> 1. ❑ Addressee's Address h <br /> does not permit. 6 <br /> N Write"Return ReceiptRequested"on the mailpiece below the article number. 2 ❑ Restricted Delivery 'd <br /> r U <br /> • The Return Receipt show to whom the aRlde was delivered and the date Consult postmaster for fee. N <br /> delivered. cc <br /> Article Number <br /> 3. Article Addressed�o: r � ) <br /> er ic 5 <br /> 41b. Service Type ¢ <br /> E „ I .t,\ <br /> El Registered El insured <br /> o %�"• . .C� I G—i- c <br /> v �" Certified ElCOD <br /> w Return Receipt for M <br /> w (•J I^t'.J.. //"" L.. 1 7 I ❑ Express Mail ❑ Merchandise c <br /> cc C �A\y' �'1 !_'d:� r �4�rf C, •- �• -�r� 7. Date of D li r <br /> C J o <br /> Q > <br /> 5. Sign re (Addressee) 8. Addressee' Add ss Only if requested <br /> and fee is paid) m <br /> L <br /> F ^ f <br /> m n IA ant <br /> IY <br /> > PS Form 3811, December 1991 *U.S.GPo:16ab-352-]16 DOMESTIC RETURN RECEIPT <br />