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<br />,... <br />~ SENDER: <br />'in . Complete items 1 and/or 2 for additional services, <br />G) . Complete items 3, and 4a & b, <br />~ . Print your name and address on the reverse of this form so that we can <br />G) return this card to you, <br />a; . Attach this form to the front of the mailpiece, or on the back if space <br />.. does not permit, <br />1 . 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 />5 delivered, <br /> <br />"C <br />G) <br />... <br />G) <br />Q. <br />E <br />o <br />u <br />en <br />en <br />w <br />a: <br />Q <br />Q <br /><l: <br /> <br />~ 5. <br />:) <br />~ <br />~ 6. <br /> <br />~f~~;t~~ <br /> <br />13 c:Lbl AJlh-tbLS-I- F/l1i)/ <br />J I . ---r-\: sn: Sb-3 <br />N-CVst~..,,- J X <br /> <br />4a, <br /> <br />I also wish to receive the <br />'following services (for an extra <br />feel: <br /> <br />1. 0 Addressee's Address <br /> <br />2. 0 Restricted Delive <br /> <br />Consult ostmaster for fee. <br />Article Number <br />--396,/'11 <br /> <br />G) <br />u <br />'S: <br />... <br />Gl <br />en <br /> <br />... <br />c. <br />'Qj <br />u <br />G) <br />a: <br />c <br />:i <br />... <br />G) <br />a: <br /> <br />c <br />c <br />'in <br />::::I <br />... <br />o <br />... <br />::::I <br />o <br />> <br />if requested ~ <br />l: <br />Cll <br />.r. <br />~ <br /> <br /> <br />4b, Service Type <br />o Registered <br />CD--etrrii fi ed <br /> <br />o Express <br /> <br /> <br />.. <br />::::I <br />o <br />,~ PS Form 3811. December 1991 <br /> <br />1rU,S, GPO: 1993-352,714 <br /> <br />o Insured <br />o COD <br />rn Receipt for <br />andise <br /> <br />DOMESTIC RETURN RECEIPT <br />