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M1 <br />O <br />S <br />N <br />~ PoataOe <br />M1 <br />m <br />~B Cernfled Fee <br />~B Relum Recelpl Fee <br />p (Fndpsement Required) <br />p Restrle[ed DeIWeYy Fee <br />p (fltdoreemeM Requiietl) <br />p Tatel Poeta9e fl Fees <br />S <br />~ Sent Tq-~ A <br />~ Street, AlphGf.•~tNOM~~11,7~1'-~ / <br />p of Po Box No. ._a <br />O Cpy, Sfat0.71W 0 ~~ <br />^ Gamplete'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 Addressetl to: <br />1~aG~-J f~ CUtIw~ ~yvhyNt`i <br />~~ ~, SOX ~ ~~~ <br />A Signa <br />X ^ Agent <br />7~"" `~/N~ ^ Addre <br />B. Received by (Printed Name) jCy~ate of Deli <br />D. Is delivery address dittereM from hem 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />1 l.~ ~It~^~ ~(,~ /y~ /'~ 3 ,$./¢~ICe Type <br />-y (/ (/~ 2 2. `~6ertifed Mail ^ Express Mail <br />~; ^ Registered ^ Return Receipt for Merchandise <br />~' '. ^ Insured Mail ^ C.O.D. <br />.~'~' 4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Numbei ~ -~- <br />(iranslerlromservice/aoel) 7~OL 1940 0006 6379 247 , <br />PS Form 3811, August 2001 Domestic Return Receipi 102595-of-M-03et <br />