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<br />,... <br />Gl SENDER: . <br />~ . Complete items 1 and/or 2 for additional services. <br />Gl . Complete items 3, and 4a 81 b. <br />I! · Print your name and addrass on the revarse of this form so that we can <br />Gl return this card to you. <br />t · Attach this form to the front of the mailpiece. or on the back if space <br />.. does not permit. <br />.! . Write "Return Receipt Requested" on the mailpiece below the article number. <br />.. . The Return Receipt will show to whom the article was delivered and the date <br />6 delivered. <br /> <br />"g <br />Gl <br />.. <br />Gl <br />is. <br />E <br />o <br />u <br />(I) <br />(I) <br />w <br />a: <br />C <br />C <br />lI( <br />z <br />a: 5. <br />;:) <br />lu <br />a: 6. <br />.. <br />::I <br />o <br />> PS Form 3 11, December 1991 '6'U.S.GPO:1893-352-714 DOMESTIC RETURN RECEIPT <br />l/) <br /> <br />+- <br /> <br />e <br /> <br />3. Article Addressed to: . I \ <br />My-, D. g I rvl OL.. i1I.l-r 6t. <br />Arw ~~ C-"lJ Q;o. <br />} D 8 0 1 C.ttltl Q.. +e. (Ll) <br />-\J~~ l-x 77505 <br /> <br /> <br />. <br /> <br />I also wish to receive the <br />following services (for an extra <br />fee): <br />1. 0 Addressee's Address <br /> <br />2. 0 Restricted Delivery <br />Consult ostmaster for fee. <br />4a. Article Number <br />b- 7 ~-~O-3 <br /> <br />4b. Service Type <br />o egistered, 0 Insured <br />ertified '....' 0 COD -...J <br />o Express-Mail,' 0 Return Re~eipt for <br />;' . ':.' erchandlse <br />7. Oat'" of Qeiivery' _ q <br />..~. ::I <br />.r'; _ . .:;. (, 0 <br />. '. > <br />8. AdCtrEiSse~:s Address.(9nly If requested ~ <br />anit.,fee\j~ paid) . ,"~ Iii <br />"~~ "" ~ _ _ "'..f (:. <br />" <br /> <br /> <br />:1 <br /> <br />Gl <br />U <br />.; <br />.. <br />Gl <br />(I) <br />C. <br />'Ii <br />u <br />Gl <br />a: <br />c <br />.. <br />::I <br />.. <br />Gl <br />a: <br /> <br />m <br />c <br />'w <br />::I <br /> <br />.. <br />o <br />... <br />