2013-02-18_PERMIT FILE - M2012050 (2)

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• Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article / Addressed to: QVj ea-�- o rv.r A. Signat X � ❑Agent ❑ Address, B. Receiv by ( Printed Name) C. Date o Delive I — N --1 D. Is delivery address different from Rem 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 133 ertified Mail ❑ E3pfbss Mail ❑ Registered etum Receipt for Merchandi: ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 91 710 8 213 3 3939 317 9 5651 (transfer from service /abeq PS Form 3811, February 2004 Domestic Return Receipt • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the cans to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Cc) �lS0 102595- 02 -M -1° A. ur--t e X Sig l❑ Agent ❑ Addres B.'Recei b P ' M..) d- - Date of Delh D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ F;(ess Mail ❑ Registered Epetum Receipt for Merchant ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 91 7108 2133 3939 317 9 5644 (transfer from service labeo PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M-