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~~ ; ~~SQ~~~~ <br />^ Complete items 1, 2, and 3. Also complete A. signature ~ <br />Rem 4 M ReaMcted Delivery is desired. ent <br />^ Print your name and address on the reverse X ~ Lr7 Addressee <br />so that We can return the card to you. B. Received by (Pr/nted Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, ~ <br />or on the front H space permits. n s ~~ ~ <br />D. Is delivery address different from item 17 ^ Yes <br />1. ~Ar/icle Addn~ssed to: H YES. enter delvery address below: ^ No <br />u / ~ ~ ` a servic~'lype <br />D certified Man ~ E:q~ress Mall <br />9j~H~~ <br />~' ; cfy~~ <br />CpcYC In ~ <br />lMVte,~u ~~ ~ <br />~:~ <br />q ~21a rc <br />~` L 1 •~'T ~ 8O ~3 ~ O Registered ~. Return Receipt for Nlerchand(se <br />1 '~ / O Insured Matl ^ C.O.D. <br />~ - <br />~ 4. Restricted Delivery? (Extra Fee) p Yes <br />2. ArtideNumber -" " ~-~-7003 1680 ~00~ 6431 5969 <br />(iiansfer hnrrr servrce red <br />PS Forth 3811, February 2004 Domestic Return Receipt t~5esat-rn-tsK <br /> <br />i ^ Complete Rems 1, 2, and 3. Also complete <br />Rem 4 R Restricted Delivery ~s 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 H space permits. <br />1. Article Addressed to: <br />~r. Gil r/e ~L <br />fr`/~~~ ~'a7S~ <br />A.-Signature <br />X Agent <br />^ Addressee <br />ved~by ( //~~~ ~} C. Date of Dell/y~~ry, <br />rJ~/~ ~,/ 1. ~E: G1-C~'j '-~~ (t'/ <br />D. Is delivery address d'rffererd from item 1~7 ~ Y <br />n YES, enter delhrery address below: ^ N <br />3. Service Type <br />O Certified Man D Egress Matt <br />^ Registered ^. Return Receipt forMerchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMcted Delivery? (Exba Fee) ^ Yes <br />2. Article Number ~- : "" - _ - - <br />(rransfer rmm servke rebel: '' 7 0 0 3 ._ 16 8 ~' ~ 0 0,0 ~ 6 4:31 5 9 8 3 <br />PS Form 3811, February 2004 <br />Domestic Return Receipt <br />4 . ~~ <br />to2ssrro2•M-tsao <br />