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<br />m L~, FA~fiPLA~ C( ~ B~.,AO I !~ ~ ~ S <br />~ ^c.64 IR~IT IL1; 0609 <br />fL Postage { <br />` <br />~ <br />~ Certified Fee 2.I0 <br />~ <br />Realm Receipt Fa 1..~ <br />[JP ' <br />S (Endorsement ReeuLedf <br />~ Restricted Delivery Fee <br />OO (Endorsement Raquiredl ~, ' <br />Q ~ <br />Total Posta <br />e Q Feu $ 6.24 ~ f 0~(O[~ <br />g <br />~ M1 . <br /> <br />S-. Sent io > O <br />0 <br />D .' ~JJ ~~~~ 6 <br />Street, Apt No.; <br />' r~ or PO Box No. <br /> <br />. O Clfy. Sfata, IIP~ 1 ' <br />M1 <br />:rr rr <br />^ Complete Hems l,2:..:,.' ~ .elWen ~~ . <br />.I Item 4 H Restricted De~iv=:.y ° ~`.~ ~~ C..Yt/l2~] ~(J:C.LTILL_ ./-~J=02 ; <br />^ Print your name and address ~„ . .. <br />I so that we can return the card to you. I C. Sigapture, n ~ ~ <br />^ Attach this card to the back of the mailpiece, (( // ~ ^ ent <br />or on the front if space permits. <br />,. a,ticlenddressedt0: rK~- (~~eCor~-~a- <br />~Ct-I'ts' CO- Gee <br />Po,Ba~ ~~a <br />~~~ Co 8DS°S~~ <br />D. Is delivery address different fmm Rem 17 ~ U Yes <br />' ,I(YES, enter delivery address below: ^ No <br />3. Service Type S, <br />^ Cert~ed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchand'¢e <br />^ Insured Mail ^ C.O.D. <br />d. Restricted Delivery? (Fxt2 Fee) ^ yes <br />it a .~.~_.,. _~_. ~,__ <br />7001 1940 004 6882 1876 <br />. j PS Form 3811, July 1999 Domestic Rehm Receipt 1025g`rag~M-0952 ~~ <br />