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~~ <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />~i item 4 H ResMcted Delivery is desired. <br />I ^ 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 />~ 7. Article Addressed to: <br />~a~ C~~C'omm~ssl'o~.~rs <br />So ~ ~a.f' n S`t • Box dad <br />;~a.~.plo-~ .~o ga~y'd <br />I <br />A ceivetl by (Please Pnnt Clearly) I B. Data of Delivery <br />~~crR1~T ~~i'i G c <br />D. Sipgature <br />^ AgeM <br />X / ^ Atldre <br />D. Is delivery address tliBereM fran darn 17 ^ Yes <br />tl YES, enter delive re~ ^ No <br />Q ~~ 8OP <br />3. Service Type L~ <br />^ Certified Mail <br />^ Registered . O Return Receipt far Memhandlse <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Ectra Fee) ^ Yes <br />_ __ !' i . <br />1 7aa~r"~194~ ~4~04 6882 1944 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-0PM~0952 <br />L_. .. ... _...._.. _.. .. _. _.__-..,____...,_._._._______.... <br />~ ~ FAI~F`H.AR ; UJ efiKO P l~t ~., U <br />ra <br /> 0.34 UNIT ID: 0604 <br />ti <br />Ptsta9e <br />s <br />m <br />~ <br />C¢dlfied Fee <br />.x-.14 <br />.D <br />Rehm Retaipl Fee <br />1.54 <br />POSendll( <br />Hen <br />S (Endorsement Required) ~ <br />~ (Endonemenl lRxquked7 Q' <br />/2 <br /> <br />Toht Pwtaye 8 Feee <br />.p <br />3' ~ } C <br />1~4~/~~~ <br />O <br />r'a I or PO Bor Nn. <br />o ...._.... _.... <br />O C/ry. Sbfe, ZIP <br />r <br />