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M '2-010-- C�c60 <br />ar+ +f t-8 MCLI, I <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 />�Wlt�Toflf e15 <br />P)tVfr5idC A"V -V 45(LLC- <br />Ld pA " Co S o 5 a <br />A. Signature <br />X 1, , <br />❑ Agent <br />❑ Addressee <br />B. )ei0ed by ( Tinted Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. S_e I Type <br />fd Certifted Mail ❑ Express Mall <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7011 3500 0002 9607 6582 <br />(Transfer from service labeq _ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAIL,. RECEIPT <br />ni (Dam stic,T1 .. <br />CO <br />'-n e: <br />� Postag <br />. $3.30 <br />' <br />17- Certified Fee: $2.7 <br />d Return Receipt Fee: <br />o- $6.69 <br />Total Postage &Fees: <br />rti t?q�tmark ` <br />C3 netum Receipt Fee <br />C (Endorsement Required) <br />C3 t , <br />Restricted Delivery Fee i , }• : •S <br />0 (Endorsement Required) J <br />t-rf Total Postage & Fees $ , <br />M <br />Sent To <br />C'li`p ?u'Nlci;?-- - - -- <br />- -- a - - - -- - - - -- <br />� Street, Apt. No.; J 1 � <br />or PO Box No. 7 i.� ( ' �yM- �� 6"A t-t H <br />---------- -- ----- - ---- ---- ------ ---- -- n ----- -- -- -- -------------------------- <br />C ,, State, ZIP +4 <br />CC C5 <br />PS Form 3800, August 2006 See Reverse for instructions <br />