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Ici-11 -3q <br />M I C1 91 -Ocq,/ <br />Ce 1--11, f 1,eC1 rV' <br />• Complete items 1-t WWZ, , Also complete <br />item 4 if Restriciec el'- <br />live js cues� red. <br />• Print your name airtl �dth obi iF�e reverse <br />so that we can retWrn toe and to you. <br />• Attach this card t6'ihe-ba k of the mailpiece <br />or on the front if space permits. <br />1. Article Addressed to: <br />ature <br />X <br />B. R red b rioted Name) C. <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />O Agent <br />❑ Addressee <br />Date of Delivery <br />Ti Yes <br />❑ No <br />Ao1 l i i��f 1'715 <br />LI' 3. Service Type <br />ct''+e Y�Ocy), Cc 30orl ACertified Mail 0 Express Mail <br />O Registered ❑ Return Receipt for Merchandise <br />❑ insured Mail ❑ C.O.D. <br />14. Restricted Delivery? (Ektra Fee) ❑ Yes <br />2 Article ansferumm 7012 3460 0000 6384 8246 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />-n OWY; No Insurance Coverage Provided) <br />Lp <br />ED certified Fee: $0.90 <br />Return Receipt Fee' $3.30 <br />e : $2.70 <br />'EndTotal Postage & <br />dorsement Requireo702, °f $6 90 <br />1 <br />31 Postage & Fees $ - <br />--------------------- K� 1%6f' ................... <br />IOu?�t'iC(�1 <br />+/ <br />No. V Q R _✓LI\'1 f a) 0r• --- --------- <br />?1P +4 <br />Oi5f( VLA)h CO m16 <br />�0, August 2006 See Reverse for Instruction's' <br />