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SENDER: <br /> • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> • Complete items 3,and 4a&b. following services (for an extra <br /> • Print your name and address on the reverse of this form so that we can fee): <br /> return this card to you. <br /> • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address <br /> does not permit. <br /> • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> • The Return Receipt Fee will provide you the signature of the person delivers <br /> to and the date of delivery. Consult postmaster for fee. <br /> 3. Article Addressed to: 4a. Article Number <br /> 5'CO{E T C�S S�l , lol �S <br /> 4b. Service Type <br /> ;�7� -10 W, 11y1C�5 n 1`Cil• ❑ Registered El Insured <br /> `t T-7 tified ❑ COD <br /> 11 eturn Receipt for <br /> 7. e' <br /> MY M. —#+V—/ <br /> , <br /> 5. Signature (Addressee) 8. r sse dr�s�j(Only if req e d <br /> f eiL 4 i <br /> 6. Tature (Agent) ` <br /> J <br /> PS Form 3811, November 1990 *U.S.GPO:1991-287.088 DD T <br />