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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the maiipiece, <br />or on the front if space permits. <br />1. Article AddrA -d to: <br />('OU'ft& " �M",S �' tLf M5 <br />Wi FFNIt HED : ATW, KjM 6cpT2- <br />Pr' `-;?oX 1 f <br />fw <br />A. <br />13 X . 0 addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? 13 Yes <br />If YES, enter delivery address below. ❑ No <br />V3 3. Service Type <br />Certified Mail ❑ Express Mall <br />( C t, OWV 5 �� S U 0 Registered ❑ Retum Receipt for Merchandise <br />(�0 1 4_ rlc, + c 0 Insured Mail ❑ C.O.D. <br />2. Article Number <br />(Transm • from service MW <br />?S Form; 811, February 2004 <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />?013 1090 0002 2123 4096 <br />Domestic Return Receipt <br />102595 -02-M -1540; <br />OF PU l3 Li c 8167« tic b -7--9 Cry, s W / �j 65 ikIATp -7 <br />