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<br /> <br /> <br />I also wish. to receive the <br />following services (for an extra <br />fee): <br /> <br />1. D Addressee's Address <br /> <br />ai <br />u <br />l <br />Ql <br />en <br />'Q.' <br />'G) <br />U <br />Ql <br />a: <br />c <br />.. <br />:s <br />... <br />Gl <br />a: <br />ell <br />c <br />'1ij <br />:s <br />.. <br />o <br />.... <br /> <br />- ,... <br />~ <br />'1ij <br />Gl <br />~ <br />Gl <br />> <br />Ql <br />.. <br />Gl <br />~ <br />... <br />c <br />o <br />'l:I <br />Gl <br />... <br />Ql <br />~ <br />E <br />o <br />u <br />en <br />en <br />w <br />a: <br />c <br />c <br />c( <br />z <br />a: <br />:::l <br />... <br /> <br />a: <br />... -). i. ~ ; i <br />g . .,. ,..:.\'. ...', '. ': ,\ , <br />> PS Form 3811 , December 1 991 <br />.!! <br /> <br />SENDER:; . . <br />. Complete items 1and/or 2 for aaditional services.. <br />.. Complete items 3, and 4a & b. <br />. Prin1tyour name and address on. the reverse of this form so that we can <br />retllrn this card to you. ' . . <br />. Attach this form to the front of the mail piece, or on the back if space <br />does 'not permit. <br />.W~e "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 />3. Article Addresseg to: <br /> <br />2. D Restricted Delivery <br />Consult postmaster for fee. <br />4a. Article Number <br />. Z018316 062 <br /> <br /> <br />4b. Service Type <br />DRegistered <br />~ Certified <br />o Express Mail <br /> <br />D Insured <br />D COD <br />D Return Receipt for <br />Merchandise <br />7. Date of Delivery <br /> <br /> <br />8. <br /> <br />. .,. ....... <br />,.. '.,......" <br />. ' . , . , . " ~ . <br />,.,'...... , <br />". ,..., ,. ""'.' <br /> <br />DOMESTic it"EtURN RECEIPT <br /> <br />.'..,' . <br />~ :".,":,~ '~ <br /> <br />;. :~ i~ ~. ~ <br />