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<br />. <br /> <br />- <br /> <br />roo. <br />CiIJ <br />-a <br />'. <br />II <br />r! <br />II <br />> <br />II <br />.. <br />II <br />.t= <br />.. <br />C <br />o <br />'tl <br />II <br />.. <br />II <br />'a <br />E <br />o <br />u <br />U) <br />U) <br />W <br />Ill: <br />Q <br />o <br />CC <br /> <br />~ 5. Signature (Addressee) <br />::I <br />I- <br />~ 6. <br />:; ~ <br />o <br />> PS Form 3811, December 1991 <br />.!D. <br /> <br />SIEi\! !OIER: <br />o Complete items 1 and/or 2 for edditional services. <br />o Complete items 3. and 4a & b. <br />. Print your name and address on the reverse of this form so that we can <br />return this card to you. <br />o Attach this form to the front of the mailpiece. or on the back if space <br />does not permit. <br />o Write "Return Receipt Requested" on the mailpiece below the article number. <br />o The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />~ - <br /> <br />'f;~', Ihrt!:t:... kd.r.t.sl:rics)J.nc.. <br />attn. J./.1.11,.-/t,(.A..~ I. Sk.UJfrl-~':, <br />a Ij-()yne.y <br />IJ. O. 8bX 3/;'/1 <br />Hov.jl-o" -rK. <br /> <br />I also wish to receive the <br />following services (for an extra <br />feel: <br />1. 0 Addressee's Address <br /> <br />iii <br />u <br />'50 <br />.. <br />II <br />U) <br />a. <br />'m <br />u <br />II <br />a: <br />c <br />.. <br />:I <br />.. <br />II <br />Ill: <br /> <br />2. 0 Restricted Delivery <br />Consult ostmaster for fee. <br />4a. Article Number <br />~ .3 HD "11 e, 0 g Z <br />4b. ~rvice Type <br />o R6g;stered <br />lQ-certified <br />o Express Mail <br /> <br />o Insured <br />o COD '-../ ~ <br />Ui <br />~eturn Receipt for :I <br />Merchandise .. <br />7. Date of Delivery 'I.S9~ ~ <br />, II ',1 ~l 1. ~ 0 <br />. ,. c.- >- <br />8. Addressee's Address (Only if requested ~ <br />and fee is paidl Ii <br />.s:. <br />I- <br /> <br />725"3 - 3D <br /> <br /> <br />-IrU.S. GPO: 1883-352-714 <br /> <br />DOMESTIC RETURN RECEIPT <br />