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Q <br />C <br />P <br />R <br />r <br />rr <br />~n <br />0 <br />a <br />0 <br />0 <br />Ir <br />a <br />a <br />O <br />O <br />f~ <br /> <br />.. <br />C~F~ ~C9A ~. <br /> : 3 ,~ . V~R co co <br />cernnr„f Fea <br /> <br />~~ o2 <br /> <br />~~ <br />e' o ~ ' , <br />'yl . <br />v <br /> <br /> ,i o <br />ttemvo~eacee, $ t/e•!f IS y <br />~Cv~ Wy,~t ff~ ~12 <br />1~oc~,wtevy- <br />l~,c <br />rt <br />1 <br />w ro 8or iva ... <br />_ <br />_ <br />_ <br />5' 0 S . <br />~r,:~t..~.. l s CrJ z <br />.rr rt , <br />^ Complete ttems'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 tha back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />-5~-c~c l~y~~~ "~ ~~<< ~DLi1~. <br />~ V~(rvt~SGn /..hvtt~i t L~.~~ <br />3~v~ s /~s~r Slruf I~ <br />F{. C~tlrh; Cv ~oSZS <br />A. Signature <br />X ^ Agent <br />B. Received by (Printed Name) ~ C~1ate of Deli <br />D. Is delivery address tliRerent from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. rvlce Type <br />ertified Mail ^ Express Mail <br />~~~~ggegistered ^ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. RestdMed Delivery? (Extra Fee) ^ Yes <br />z. ArticleNUmber 7001 1940 0006 6379 3909 <br />(runs/er /rom service /abeQ <br />PS Form 3811, August 2001 Domestic Return Receipt 102595~Ot~M~a3a1 <br />