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S ENDER-COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and& A. Si ttre <br /> ! Print your name and address on the reverse oli E3 Agent <br /> so that we can return the card to you. Q Add.. <br /> 0 Attach this Card to the back of the rnailpiece, Wed tPda C• Date ive <br /> or on the front If apace permits. <br /> 1. AdUe Addressed to D, is del wy address dMenent (hem 1? ❑Yes <br /> Lv4y O; Frax7 ai� It YES,enter deliveryadd ❑No <br /> 116 S Main. G-t <br /> lr uA'kaa n <br /> I���f�l �il l'III III �I��l[I I 'II F�IIIII�I� a. SOMM Type <br /> n AdLft WWWhn [I ftgb W Mu�Pr»'e`® <br /> r <br /> ate Ae.Motea Dat�ry o R=Mao PA*Iow <br /> 9590 9409 0256 6155 8980 18 �t� <br /> 0:2 e• Wor <br /> et on Dertv«y naeraa4rwiea <br /> 9 AMk In Number(�1ZtralYbr lrCfT)earY(Ce lkbBlf ❑Cdfeot an Der"awr4w Dewy O Sgnadure Cwftm tlon'" <br /> 7006 2150 0001 7307 2027 �� �M oatoxy aReftlow oe�n <br /> _ 6oa� <br /> As Form 381 1,Apr)2p1 b;;7=-02.000-900 O noeetic Rehm Reodpt <br /> POStal Service,;, <br /> CERTIFIED MAIL,,, <br /> ri • Provided) <br /> M <br /> ru <br /> ►� I�Myyjp � <br /> 0 <br /> m Poe ar 0179 <br /> Certified Foe f7 <br /> `o 0 <br /> Return Receipt Fee w <br /> O (l:rWorsemeM Required) $0.0 <br /> Restriow Delivery Fee <br /> p (Endorsement Required �J7 <br /> Lr)1-1 $ } <br /> Total Qostafle a FeeB $ ,�' 40ru <br /> b. c <br /> '96WWApt No.; <br /> or PO 6.. ..1 .n - <br />