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I also wish to receive the
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w PS Form 3811, December 1994 102595-98-B-0229
SENDER:
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to o Complete items 3, 4a. and 4b,
v a Print your name and address on the reverse of this form so that we can return this
card to you-
■ Aermil Ibis form to the front of the mailpiece, or on the back if space does not
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■ Write "Return Receipt Requested"on the mailpiece below the article number.
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US Postal Service
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PS Far 11, December 1994 102595-98-B-0229
Domestic Return Receipt
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■ Complete items t andlor 2 for addIrlanal services.
following services (for an
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■ Complete items 3, 4a, and 4b.
■ Print your name and address on the reverse of this form so that we can return this
extra fee):
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card to you.
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1. ❑ Addressee's Address `-'
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■ me 'Relvrn Receipt Requesled" on the mailpiece below the article number.
to the article was delivered and the date
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■ Complete items i arxYor 2 for additional services.
■ Complete items 3. 4a, and 4b.
following services (for an
1 0
■ Print your name and address on the reverse of this form so that we can return this
extra fee):
ui
W
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
ar
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■ write 'Return Receipt Requested" on the mailpiece below the
article number.
2. El Restricted Delivery
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and the date
Consult postmaster for fee.
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6. Sign • e: (AddresseepfAgent)