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<br />. <br /> <br />,.... <br />~ SENDER: <br />'iij 0 Complete items 1 and/or 2 for additional services. <br />G) 0 Complete items 3. and 4a & b. <br />~ 0 Print your name and address on the reverse of this form so that we can <br />G) return this card to you. <br />~ . 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 />delivered. <br /> <br />4b. Service Type <br />o RegL!itered <br />v.b <br />J2N;ertf~.ed <br />o Express Mail <br /> <br />c <br />o <br />"t:I I 3. Article Addressed to: <br />.i lYh.. 0; WI S We...ek..€. Y <br />~ fG, k~ r <br /> <br />tJ. <br />en <br />en <br />w <br />a: <br />C <br />C <br />oct <br /> <br />~ 5. <br />~ <br />I- <br />~ 6. Signature (Agent) <br />.. <br />:;, <br />o <br />> PS Form 3811, December 1991 '/(U.S. GPO: 1993-352-714 <br />.!!l <br /> <br /> <br />4a. <br /> <br />. <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 />(!) <br />tJ <br />'S: <br />.. <br />G) <br />en <br /> <br />2. 0 Restricted Delivery <br /> <br />Consult postmaster for fee. <br />Article Number <br />o <br /> <br />... , <br />Q., <br />"iij <br />.' , <br />Ql <br />Ir" <br /> <br /> <br />s <br /> <br />o Insured <br />o COD <br />o Return Receipt for <br />Merchandise <br />7. Date of Delivery <br /> <br /> <br />-9 <br />8. Addressee's Address (Only if requested ~ <br />and fee is paid) 1ii <br />.c <br />I- <br /> <br />DOMESTIC RETURN RECEIPT <br />