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Z-6321 Application
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O W c� x r+ cr b 0 00 CD 0 CD A acs' C CD 9 En O CD CD O CD ei, CD in rA O (D SENDER: V ■ Complete items 1 and/or 2 for additional servfees. w :Complete items 3, 4a, and 4b. d ■ Print your name and address on the reverse of this form so that we can return this card to you. ■Attach this form to the front of the mailpiece, or on the back if space does not permit. m ■ Write -Return Receipt Requested' on the mailpiece below the article number. ■The Return Receipt will show to whom the aetide was delivered and tha date delivered. 0 a 3. Article Addressed to: CL E U) W l A -R Z cc cc 5. Received By W g 6. Signatu : (A N PS Form 3811 Name) , December 1 I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4a. Article Number Z DVgi 94 I also wish to receive the 4b. 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Sign re: (Addresses or A X PS Form 3811, December 1'. 4a. Article Number I also wish to receive the 0 4d!RV 0 1 following services (for an Ota. Service Type d ❑ Registered Certified 1. ❑ Addressee's Address ❑ Express Mail ElInsured c rn N ❑ Return Receipt for Merchandise ❑ COD a ■Attach this form to the frond of the mailpiece, or on the back if space does not permit. 7. Date of Delivery Consult postmaster for fee. ■Write'Refura Receipt Requested'on the mailpiece below the article number. 81710 Return Receipt WTI show to whom the article was delivered and the date 2. ❑ Restricted Delivery 8. Addressee's Address (Only if requested c delivered. and fee is paid) t 3. Article Addressed to: 102595-97-B-0179 rn Receipt SENDER: ■ Complete items 1 and/or 2 for additional services. I also wish to receive the ■ Complete items 3.4a, and 4b. following services (for an ■ Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■ Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address permit. ■Wdle'Return Receipt Requested' on the mailpiece below She article number. 2. ❑ Restricted Delivery ■The Return Receipt will show to whom the arlide was delivered and the date a ■Attach this form to the frond of the mailpiece, or on the back if space does not permit. delivered. Consult postmaster for fee. 3. Article Addressed to: CIO 11✓ c4>0') I*Lt-s ti�L-T Y' Z-ZIZ Signature: (Addressee or Agent) X 4a. Article Number -Z sen J I 4b. Service Type ❑ Registered'.. Certified t ❑ Express Mail'' '.Insured ❑ Return ReWpt+for Mefop\anise? tj +CO 7. Date of Delivery. 8. Addressee's Address (Only It requested and fee is paid) PS Form 3811, December 1994 102595-97-B-0179 ai SENDER: ■Complete items 1 and/or 2 for additional services. in ■Complete items 3, 4a, and 4b. I also wish to receive the following services (for an w ■Print your name and address on the reverse of this form so that we can return this 2 card to you. extra fee): a ■Attach this form to the frond of the mailpiece, or on the back if space does not permit. 1. ❑ Addressee's Address ■Write'Refura Receipt Requested'on the mailpiece below the article number. 81710 Return Receipt WTI show to whom the article was delivered and the date 2. ❑ Restricted Delivery m to c delivered. Consult postmaster for fse. 3. Article Addressed to: 4a. Article Numbers d � 0 g© (60 ;7 a! cgo. 4b. Service Type ❑ Registered Certified s �t -� oc k), � ❑ Express Mail ❑ Insured ❑ Return Receipt for Marchand E- a D az 7. Date o Delivery � 74f 5. Received By: (Print Name) I`- 2� 8. Addressee's Afte niy if request PO. Iz and fee is paid) 0 t ~ . ti. Signature- g (Addressee orA PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt SENDER: r3 ■Complete items 1 andlor 2 for additional services. 01 ■Complete items 3, 4a, and 4b. 1 also wish to receive the I also wish to receive the following services (for an ■ Print your name and address on the reverse of this form so that we can return this extra fee): ai card to you. -Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address •2 permit. ru ■Write'Return Recapl Requested' on the mailp. ace below the article number. 0 2. ❑ Restricted Delivery N ■The Return Recelpl will show to whom the amcle was delivered and the data delivered. a Consult postmaster for fee. .� Consult postmaster for fee. delivered. rs 3. Article Addressed to: 1 1 QL 4a. Article Number y�x7 [� 7, , - `V `V � lQily V �L�1t� 7 4b. 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Article Number ra rticle Addressed to: oc 0. �,��- � el E a c4b. Service Type E 0 [[� �.�}�t-[i j � ❑ Registered Certified � ❑ Express Mail Insured ¢�� Return Receipt for Merchandise ❑ "COD o ata of Delivery �l ate. q X27 F5. Received By: (Print Name) dressee's Address (Only if requested c w a d fee is paid) F g 6. Signature: (d ass Agent) a°. X CL PS Fo& 381 ecember 1994��7•t�o17s Domestic Return Receipt ai SENDER: (� �! 1 also wish to receive the a ■ Complete items 1 and/or 2 for additional services. 0 ■Complete items 3, 4a, and 4b. following services (for an d ■ Print your name and address on the reverse of this form so that we can return this extra fee): card to you. > ■Attach this form to the front of the mailpiece, or on the back if space does not 1. El Addressee's Address permit. ■Write'Retum RsceiptRequasled' on the mailplace below the article number. 2. ❑ Restricted Delivery ..0 ■The Retum Recelpt will show to whom the Wide was delivered and the date Consult postmaster for fee. delivered. 0 -° 3. Article Addressed to: '(2 4a. Article Number �• - ( l iCS C. 4b. Service Type ° r ❑ Registered Certified _ Q." [I Express Mail ❑ Insured tu af I I ��� ✓1 ❑Return Receipt for Merchandise [J COD /7_;� 7. Date ofDe've z --Cl F 5. Received By: (Print Name) 8. Addressee's Address and fee is paid) � C g 6. Signature: (Addressee or ent) 0 X U, PS Form 3841, December 199.4 - ! 102595-97-B-0179 if requested Return 0 SENDER: v_ ■ Complete items 1 and/or 2 for additional services. I also wish to receive the 0 Complete items 3, 4a, and 4b. following services (for an 0 ■Print your name and address on the reverse of this form so that we can return this extra fee)' d card to you. ■Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address permit. 0 ,Wnie "Retum Receipt Requested" on the mallpiece below the article number 2. ❑ Restricted Delivery .5 ■The Return Receipt will show to whorn the article was delivered and the date delivered. Consult postmaster for fge. c 0 V3. Article Addressed to: 93 -box4 61-1� A-?) -7, C� 1,�) Z 5. Rfinived 7: (Print am ) W ft g 6. to (Addr s ant) 0 w PS Form 3811, Pecember 1$94 4a. Article Number z cz-)� 4b. Service Type ❑ Registered Certified ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ "COD 7. DDeli Tvr 8. 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