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^ Complete items 1, 2, and 3. Also completes A <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. g. <br />^ Attach this card to the back of tlSe mailpiece, <br />or on the front if space permits. <br />~1 Article Adtl~Sre r5ed to: <br />1~i ~` ~~ ~'Lfl~f a BLS <br />~e~~y ~i ~,' c~ ~~G~ <br />l~~ vPr~, lo. ~'vzi~ <br />^ Agem <br />yVl-lg9'la-OSa <br />ZY~ce,tim-~ -~~~a~os <br />C. Date W Delivery <br />D. Is delivery address di(ferem from kem t? ^ Yes <br />If YES, enter delivery address below: ^ No <br />°a <br />3. Servlce'f '~" <br />^ Certifled~vlal~~~ press Mall <br />^ Registered ~~ ~ arum Receipt for Merchandise <br />^ InsuredMail .d C.O.D. <br />4. ResMctetl Delivery! (Extra Fae) ^ Yes <br />2. ArticleNUmber 7pp3 1680 0000 6431 3990 <br />(riansrer hom seMce IabeQ <br />PS Fonn 3811, February 2004 Donrestic Retum Receipt - ,~*,, „ tozsss-0z+n-tsao <br />.~ <br />O ~ ~ <br />i'~ I. <br />m <br />m ' ~Q~~~~t,~ittl~Denvl~0 <br />-~ Postage: $.83 / ~ '-~ <br />o Certified Fee: $2.30 cdS(! <br />o (Erau Retum Receipt Fee: 1.75-! c0~ <br />s// N0~ -~ <br />~o (mow Total Postage &jF W C.88z2 ~ <br />~ t '% F ~ <br />Torel l°oetflge 6 Faee $ 6 2~0 .~- <br />a, <br />m o <br />o ~., <br />