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<br />,... <br />~ SENDER: <br />'w . Complete items 1 and/or 2 for additional services. <br />CD . Complete items 3. and 4a & b. <br />l!? . Print your name and address on the reverse of this form so that we can <br />CD return this card to you. <br />i; . 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 />S delivered, <br /> <br />~ <br />CD <br />... <br />CD <br />Q. <br />E <br />o <br />u <br />(/) <br />(/) <br />w <br />a: <br />c <br />c <br />c:( <br /> <br />z <br />a: <br />~ <br />l- <br />w <br />a: <br /> <br />3. Article Addressed to: I <br /> <br />t~~v~;~~t~. <br />klt)t~\\u--o~tSTE ~3V <br />~vs~TX 77D~1 <br /> <br /> <br />.. <br />:J <br />o <br />::- PS Form 3811. December 1991 <br /> <br />""'U.S. GPO: 1993-352-714 <br /> <br />I also wish to receive the <br />following services (for an extra <br />fee): <br /> <br />1. 0 Addressee's Address <br /> <br />CII <br />(.l <br />'S <br />Gi <br />CIl <br /> <br />4a. <br /> <br /> <br />... <br />C <br />'Qi <br />(.l <br />a: <br />a: <br />c <br />:i <br />... <br />a: <br />a: <br />c <br />c <br />'(i. <br />:l <br /> <br />2. <br /> <br />4b. Service Type <br />o Registered <br />ertified <br /> <br />o Express Mail <br /> <br />o Insured <br />o COD <br />o Return Receipt for <br />Merchandise <br /> <br />.. <br />c <br />... <br /> <br /> <br />8. <br /> <br />c <br />> <br />ss (Only if requested .:0 <br />c <br />t'CI <br />.c <br />I- <br /> <br />DOMESTIC RETURN RECEIPT <br />