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SENDER: I also wish to receive the <br /> a ■Complete items 1 and/or 2 for additional services. <br /> N ■Complete items 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •5 <br /> d permit. I <br /> y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery N <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. Consult postmaster for fEe. a <br /> o <br /> 3.Article Addressed to: 4a.Article Number <br /> -,];L 8 q t4 <br /> E (c� I �c't I-(ors 4b.Service Type «' <br /> c°, ❑ Registered Certified ¢ <br /> N El Express Mail ❑ Insured E <br /> W <br /> l�� 5� a f <br /> ¢ � i � m nl ❑ Retum Receipt for Merchandise ❑ COD <br /> 0 7. Date of Delivery <br /> z 0 <br /> M, 5. Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> w and fee is paid)LU <br /> t <br /> cc <br /> g 6.Sigpatu : (Addressee cTAgent) <br /> o 1 <br /> H PS Form 3811, De tuber 1994 Domestic Return Receipt <br />