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~~~~ <br />0 <br />~~ , <br />~, s <br /> <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 />7. Article Addressetl to: <br />O~ <br />~~, ~~. ~ <br />~`I~- Off. ~r~ <br />2. Article Number (Copy from service /ebeQ <br />PS Form 3811, July 7999 <br />rL <br />m <br />m <br />r <br />by (P/ease Pnnt Clearly) ~ B. Date of <br />_ ;,,o p-K S-o o a, <br />C. Signature <br />X ^ Agent <br />U • A l.~-C.XiJ(~W 1 O Addressee <br />D. Is delivery atldress different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~ertified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ Yes <br />S /~~ <br />Domestic Return Receipt <br />~us~;~~~~ w,~~~~-~u~ <br />'~ {M l 9 ~ ~ ' v ~ 7 '~ <br />K~-I-'--t-~'' <br />102595-00-M-0952 <br />/~V VVLVV <br />m Postage S <br />S r ~_ <br />~ Certified Fee I <br />~ l~ mark <br />~ Return Receipt Fee `~. Sd •rRe <br />~ (Entlorsement Required) J A C <br />O Restricietl Delivery Fea ~H y Qy t <br />~ (Entlorsement Required) I ~~ W ~,~7 y <br />20 t <br />OO Total Posfa9e 8 Feas $ r ~ QJ 7/1/In y <br />S R ipie t§ Name (Pease Pnnt Clearly) (to be co L~/~fL ' d, ' <br />m .J rAt P '~ <br />~. Street. t. No.; o Po ~x No. / . <br />- ------~a -~ - ~o.~-~ - ~i~hal`~-~cnri-rte <br />'~ TTDZ.UrrICa_.~0~ - ~~73'~ <br />