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Permit #:/K-FS -/~t~ Confidental?: <br />Class: Type- eq.: k <br />From: /r1 - To:~ <br />Doc. Name: ~, ~r~/7 ,~ <br />Doc. Date (if no date stamp): ' <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 />1. Article Addressed to: '/~f~/~~~.~ <br />3 ~ . 7~-i.~~~ <br />2. Article Number (Copy /rom service label) <br />7099 .s 5~0 ovl~ <br />_ ,.i 9~ PS Form 3811, July 1999 <br />7-. <br />A. <br />C. <br />D. Is ~1§Mvery atldress tl~i <br />If YES, enter delivery 0t <br />`,.: <br />B. Date of Delivery , <br />~ V O 0 Agent <br />_ F~/^ Addressee <br />nhteml4 ^ Yes <br />D le oW O~ No <br />L _, `n~ <br />~\ / `+ <br />3. Service Type ~ '/ <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />;c89o <br />Domestic Return Receipt 102595-OO~M~0952 <br />O ~ <br />0' <br />~ ~GAG•1313 SAernnr <br />~ <br />0 Postage $ <br /> <br />p- Certified Fee ~' <br />rTl Return Receipt Fee <br />~ (Endorsement Required) <br />~ Restricted Delivery Fee <br />~ (Endorsement Repuiretl) <br />~ Total Postage 8 Fees <br />S <br />fTl fl ipien Nam (lees Pr <br />D" 5 t, Apt. No.; or PO <br />°~ s <br />~ <br />~ <br />S <br /> <br />N _ <br />_ . <br />. _ <br />_ <br />. <br />Ciry, ~ tat ZIP+4 <br />1 <br />~, <br />? S ~ JUL <br />~° .~ .. 21102 <br />