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. � J --+ <br /> . . UNITED STATES POSTAL SERVICE �� � �_ B � <br /> OFFICUL BUSINESS " ' v -� <br /> c <br /> SENDEH INSTHUCTIONS 4� it JAN n <br /> - Rint your rum�.�ddnu�nd IIP Cod� —' <br /> h en..P.o.e.ww. �9 9 a <br /> • CompNnR�mi1.2.3.�ndlonth� � <br /> nv�n�. U.&M4L <br /> • An�ch to front of MkM H �p�o �O <br /> p�rmk�, otMrwW �f/lR to b�ck ol <br /> �n��• PENALTV FOR PRIVATE <br /> . ...� . .. . ..... .. . <br /> • Endoru �rticb "N�turn R�c�lpt USE, 5300 <br /> � . . . . . . . . . .. .. R�Qunud"Wpc�nt to numMr. <br /> � flETUqN � Print Sender's neme, eddre^,s, end ZIP Code in the spece belaw. <br /> � TO <br /> � � o�=ar Pl��� ,���,2,� <br /> � 3�0o c�D AK' ST <br /> � — <br /> 1� c'�`,�r� r; w� 9Fr�o/ <br /> • SENDER: Compkte item� 1 wW 2 wMn �editionel qrvfco �n dMNW, �nd compNn k�m� <br /> 3 end 4. <br /> Put your eddress in the"RETURN TO"Sp�te on the reverse side.Feiiurc 10 tlo this will p�eye�+t thit cerd <br /> from being mturned to you.The retum rocai f fee wiil rovitle ou the neme ol the non tlalivered m end <br /> the dare of Celive .For ed it�one aea t o owmg servicas aro avsi e e. onsu t postmaater or eea <br /> an c ec o�es or aeeitionei servicel�l repuasted. <br /> 1. C Show to whom deHvv�A,dN�, nM�dArossee's aEdrst�. Y. ❑ Rntrknd DNlvsry <br /> (Ettro a#oRtN (Etrm t#ard�) <br /> - 3. Article Addressed to: 4, Artiele Number <br /> h+Q toY n D R��a�,c rso�J �o,sarv��: <br /> Rpl�terod ❑ ImuroE <br /> /95'� LN S PA��� S c N Gartitied ❑ COD <br /> �`' zpren Meil ❑ R�Wm Rkd t <br /> L AUGN<iN /UV �d''0.2 a h �i�e <br /> J ���� A obufn�ipn�tun of�ddmaN . <br /> or t m0 TE DgIVERED. <br /> � � 6. Si n A res , rost Addr»� fONLYtJ <br /> . X 9urtrrJ�+dh�Pa�l <br /> � � . 6. i ure — Apent <br /> X <br /> 7. Dete of Delivery <br /> PS Form 3811, Apr. 19l9 .us.aro.��tf►n� OOMEfTIC 11ETURN XECEIPT <br />