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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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />lie -, L,e�aw- <br />_ I <br />CO. 3. service Type <br />eifled Mail 1:1 ess Mail <br />0 Q �C' U � Registered Jfu��/Retum Receipt for Merchandi: <br />J <br />c� ❑ Insured Mail C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 3179 5606 <br />(rransfer from service /abeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1; <br />kSECTION COMPLETE THIS DELIVERY <br />na ❑ Agent <br />A. Si t� ' �� v L <br />Ti f'� ❑ Agent <br />X ��. yt .i ❑ Address, <br />B. Recgived by (Printed Name) C. Date of Delive <br />—II'U <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />■ 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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />La"rP �n��ren a <br />B. Receiv96 by ( Printed Name) <br />D. Is delivery address different from On 1? LT Ye: <br />If YES, enter delivery address below: ❑ No <br />I <br />C C- O _ 3. Se a Type <br />Certified Mail KCOF <br />Mail <br />r <br />❑ Registered Receipt for Merchandi: <br />(� Z — (1 ; 3 ❑ Insured Mali <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />z. Article Number 91 ?108 2133 3939 2 9 4 4 1836 <br />(Transfer from service label) <br />3S Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -15 <br />