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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 mallpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />A. 9 ture <br />X 0 Agent <br />0 Addressee <br />B. Receive by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />e e\ L1 �0632 0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7 011 0110 0002 1, 0 21, 8449 <br />(fiansfer fmm service labs, <br />PS Form 3811, February 2004 Domestic Return Receipt <br />a. <br />0 <br />:y. <br />.0 <br />O <br />OII t <br />rryy^^)) e <br />m m ma mg m <br />m <br />N li lid <br />LL <br />`.11 <br />� �'• <br />; <br />m <br />LLD <br />ti= Cr <br />�T' <br />E z <br />U `E �E <br />�o Z,� 0- <br />Q <br />It Cj <br />n <br />m m <br />�o yo a <br />o Q M ; 9 <br />lo <br />ul Cr <br />•.Cp. <br />� <br />a <br />6hh8 T20T <br />M <br />TTO? <br />P <br />m a�oa <br />2Eh8 T20T <br />2000 <br />OTTO <br />TTOL <br />a. <br />0 <br />:y. <br />.0 <br />O <br />OII t <br />rryy^^)) e <br />102595 -02 -M -1540 <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 mallpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />j <br />� t Z) V c -J L- <br />J <br />a i J: <br />rF E � 1� fitt; M <br />" S� <br />C <br />in N } <br />m m ma mg m <br />m <br />N li lid <br />LL <br />`.11 <br />� �'• <br />; <br />m <br />LLD <br />ti= Cr <br />�T' <br />p•y <br />U `E �E <br />�o Z,� 0- <br />Q <br />It Cj <br />n <br />m m <br />�o yo a <br />o Q M ; 9 <br />lo <br />ul Cr <br />•.Cp. <br />� <br />6hh8 T20T <br />2000 OTTO <br />TTO? <br />102595 -02 -M -1540 <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 mallpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />j <br />� t Z) V c -J L- <br />J <br />a i J: <br />rF E � 1� fitt; M <br />" S� <br />C <br />in N } <br />vi <br />b <br />m <br />9 <br />m m^ <br />LL LL, <br />m <br />LLD <br />T <br />�T' <br />p•y <br />(.� <br />Q <br />,a <br />•.Cp. <br />� <br />o <br />Ef? <br />vi <br />b <br />m <br />9 <br />m m^ <br />LL LL, <br />m <br />LLD <br />T <br />,a <br />E <br />d E <br />o <br />m umi <br />sw$ <br />P <br />m a�oa <br />2Eh8 T20T <br />2000 <br />OTTO <br />TTOL <br />A. Signatu <br />X / 0 Agent <br />r' ,'Lx ''- 0 Addressee <br />B. ed by (Pent Nam C. Date of Delivery <br />i� O r) l <br />D. is delivery address di feient from Item 11, 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type ^� - -- <br />0 Certified Mall 0 Express Mall <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mali 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7 011 0110 0002 10 21 8432 <br />(transfer fmm service /i _ , <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />