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cc-r � 1, <br />H L. <br />(complete items 1, 2, and 3. Also complete <br />}hem 4 if Restricted Delivery is desired. <br />It Print your name and address on the reverse <br />,Po that we can return the card to you. <br />q Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />Th,j n6runl 4MIP <br />L15 AA,� Mh (a-,i A+t� <br />"AO 00 slog � N pp FF �,r y,�ll .AljQ <br />' V�I.O'k IDC t la, <br />A. Si nature -- // <br />L�Agent <br />Addressee <br />eceivedpy (Pri ed Name) C. Dalte D I' ery <br />�� <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: E31No <br />3. Service Type <br />Certified Mail ❑ Express Mall <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 2523 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M <br />Postal <br />CERTIFIED 1 RECEIPT <br />M ly, No Insurance Coverage Provided) <br />(Domestic man on <br />ul <br />ru <br />,. � ':nz a �" is s•, <br />m <br />Er <br />° 3ostage: $0 48 <br />o certified Fee: $3.30 <br />Q (Endor3eturn Receipt Fee: $2 <br />Restr <br />c7 (EndOTotal Postage & Fees: <br />-D $6.48 <br />C3 Total Postage & Fees <br />ri <br />C3 Sent To Y'h;l `(Ja�ev�lhawt� L�SA-v N\112ClwL1� <br />MS; ----, Ap --R-- -----------------------------------�n----f-----------------•-------------- <br />� or PO Box No. �d 0 N , I ,(i A �l Q . <br />Ctty State, Z%P+4 <br />PS Form :00 ALIgUst 2006 See Reverse for instructio <br />