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31B-167 (8) SENDER: I also wish to receive the • Completeitems 1 and/or 2 for additional services. • Complete items 3,and 4a&b. following services (for an extra • Print your name and address on the reverse of this form so that we can fee): return this card to you. • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address does not permit. • Write"Return Receipt Requested"on the mailpiece below the article number. 2. Restricted Delivery • The Return Receipt fee will provide you the signature of the person delivers to and the date of delivery. Consult postmaster for fee. 3. Article Addressed to: 4a. Aicle Number r Aq c) 3cb o-7 q 4b. Service Tag Ll Registered 0 Insured z� Certified ❑ COD �i ❑ Express Mail ❑ Return Receipt for Merchandise 7. D71D to of Delivery (p ;�— 5. Signature (Addressee) 8. Addre see's Address(Only if requested and fee is paid) 6. Signa a (Agent) PS Form 3811, November 1990 3- .s.opo:twt—m-m DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE, $300 Print your name, address and ZIP Code here � � � Y`\ P 890 36 094 RECEIPT FOR CER IF1ED MAIL NO INSURANCE COVER, t PROVIDED NOT FOR INTERNATIONAL MAIL ('See Reverse) Street and r^ P O.Sta3�te end ZIP Postage Cert!tied f=ee ' Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Deliver U") Return Receipts trove jo Date,and Address er G- a TOTAL Postage a 0 Postmark or Date , . o �� LL a , STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) I If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier, (no extra charge) 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date.detach and retain the receipt, and mall the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach It to the front of the article by means of the gummed ends if space per- mits. Otherwise,affix to back of article. Endo-se front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt if return receipt is requested,check the applicable blocks in item i of Form 3811, 6 Save this receipt and present It if you make inquiry. U.3.G.P.0.1987.197-722