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}}'r ( <br />! ■ Complete ite M <br />i Complete items 1, 2, and 3. Also S ? item 4 if Res m , • <br />item 4.1f Restricted Delivery is desin "`{J� ■ Print your ni m , . <br />i Print your name and address on the ; so that we if p <br />so that we can return the card to yr ■Attach this+ L[ .3 <br />if Attach this card to the back of the' �� or on the fq TC "�- �s L ' <br />or on the front if space permits. 11 <br />iarlc n 1. Article Addre ru Postage S <br />Article Addressed to: G CertlSed Fee $3.10 12 FRC: <br />C3 0�� (EndbrseementRRee4uulreeo $2° ark <br />G�inn �t `14 t � R Mere <br />ti Y • e.G ( Y + 1�t �L . , (Endo ers ment ReyLq� X0.00 C w <br />° Total Postage & Fees $ $6.11 <br />....... - .... • ; a nt 02q 1 2 OE��Q <br />`�er�b Ci) EO2_.DZ ► --- - -- -- - - -• -- ►� �etAp�uo----------------------- <br />-- <br />_.. .. <br />orPOBox No. qq !� -... <br />' 2. Article C�1tQZ%Py¢ �" -_ _i� .... .. . ............. <br />2. Article Nu' ` - (•Q <br />7206 t o12t, (Transfei mo�.fi CIO Sos ()2 <br />(Transfer i) —I, t , <br />Domestic Return Receipt 102W5-02-M-1540 PS Form 3811, Fe ru <br />PS Form 3811, February 2004 <br />f - - - -- - -- - -- i co <br />I . SENDER: • m •. • <br />• <br />I`� ■Complete items 1, 2, and 3. m <br />M em 4 if Restricted Delivery <br />`1 Q <br />_ ( nt your name and addr�rys�' '� LQ °OdO <br />■Complete items 1, 2, and 3: Also Lti Q- f -� p _ o <br />item 4 if Restricted Delivery is desil a "' F T3 "` u� � :� 1 A L � p S E � that we can return the cal ru Poke g �0.4G <br />■ Print your name and address on thi o , ch this card to the back j <br />$0.46 F Rj ,� r on the front if space perm o Certified Fee 43,10 <br />so that we can return the card to yi ru Postage S <br />■ Attach this card to the back of the l rt.l C'� `' 1 cle Addressed to: o Remm Receipt Fee 42,5 <br />or on the front if space permits. ; o Carded Fee $3.10 1�� � � � i C3 (�,se� RequreO <br />1. Article Addressed to: n Retum Receipt Fee 42 RF, j lore C�t�hxe � � C3 Restrkted D.Mry Fee <br />40 QO <br />l, ❑ Addressei <br />tC. Date of Deiive 7 <br />T item 1? ❑ Yes <br />Blow: ❑ No <br />L n <br />a <br />a <br />ss Mail <br />p Receipt for Merchandis <br />). <br />ee) ❑ Yes <br />k <br />a <br />I 102595-024M -15 <br />,Postn� ` <br />c -- Y fi r^ - (Endorsement Regtilted) i p (E &rsement Required) ° <br />' O Resirkted Delivery Fee <br />? o (Endorsement Required) 40.00 4, e j C3 46.11 01/23!. <br />s Total Postage & Fees <br />Total Postage &Fees s $6.11 0 0 To r <br />ontro OWn 0 t `FMs�on� '`�, PO Bo Na '� �x ................ --------- • - - - --° <br />- - - -- <br />-- <br />Z N Street XNa 1 � O State ZlPr4 <br />orPO BoOx Na <br />city, S(ate,ZlP+4 <br />(Transfer fray, 1# t r 17110 6 <br />PS Form 3811, February 2004 <br />1120, 0002 «2219 3362 <br />Domestic Return Receipt <br />102595.02- M-1540 <br />u <br />H <br />UTA%11W�A Lo 00 <br />i 2.icle Nrher - <br />2 2019 3348 <br />(Trsterfljlsery 220 <br />i <br />PS Foi n 38 , Fe ary 2004 Domestic Return Recetpt <br />102595-02 -M-15 <br />R <br />