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('� OG m lgcr � C)Sfl <br />Ce,r-� -'t -�Fje 6 Ma'L <br />SENDER: COMPLETE THIS SECTION <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 />°, NUc�W,?h���� Fclu�til��hmJ�'ti <br />A�y��'�e5 <br />° Y* Co <br />A. Signature <br />X <br />0 Agent <br />0 Addressee <br />B. eceived y (Printed N me) C. Date of Delivery <br />D. Is delivery address different from item 1? <br />0 Yes <br />If YES, enter delivery address below: <br />0 No <br />3. Service Type <br />Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />2. Article Number 4. Restricted Delivery? (Extra Fee) 0 Yes <br />(Transfer from service label) 7011 3500 0002 9607 6407 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />-mr --- <br />Postal <br />CERTIFIED ■ <br />O <br />(Domestic Mail Only; No Insurance Coverage provided) <br />r $1.61 <br />CI <br />Er postage _ $3 30 <br />Certified Fee: z�' T���� $2.70 <br />C3 ReturnRetUrn Receipt Fev - ,` <br />C3 (Endorseme, $7.61 <br />C3 RestrictedETotal Postage &iftes. <br />C3 (Endorsemen <br />C3 <br />ul Total Postage & Fees $ " <br />M <br />LBox �To <br />X 1r(Vu\Vaiwt+�W 9 ciba �tk4f Y, <br />C .: (�� �D i\ .� -�XIX �i(� +4 -v-�----------- -- ----- " -""-- <br />