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m ~q~-~~ <br />~+;~- <br />~~ <br />~-(3 -a <br />ESQ. dc~k ~ -}-oc. <br />•. <br />,~ <br />~- <br />.. <br />~ r~1 ~ 5}:~lenva~e~_ <br />~ Postage: $ .63 ~--- <br />°o Certified Fee: $2A~ <br />°o ~,~Retttm Receipt Fee ,~1~SS~Sdsn~ <br />1. ~ M R\~:~ ` .. <br />~ <br />~ Real I ~' <br />s $4:88 <br />& F <br />tEntlo <br />' <br />13 <br />. <br />D ee <br />otal Postage <br />[ <br />F 2 <br /> Total Paslege 8 Fees $ ~ <br />m -^ <br />O t is <br /> <br />~cty;~ <br />^ Complete items 1, 2, and 3. Also complete <br />kem 4'rf 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: <br />C~j~iC ~13~1.~~ji>)Gf <br />L,~s ~ r~~> ,1 a~ <br />J ~Do ~, /f~T-~i L L i~ <br />/~~'c'T ~d LG~~Zs~ ~~ <br />goS <br />J /~j~-„~ Agent <br />6/~Ytecelved by (~,ri~J~d AlvmeJ C. Date of livery <br />Is delNery address tliRereM from item 11 ~ Yes <br />If YES, enter delivery atldress below: ^ No <br />3. Service Type <br />Cemtged Mall ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ Yey <br />z. AniaeNUmber ~ 7003 1680 pDL10 6431 5891 <br />(Iians/erhom seMCe lad <br />PS Form 3811, February 2004 OomesUC Retum Receipt to?ssso2n+-tsw <br />