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^ Complete kerns 1, 2, and 3. Also complete <br />Item 4 k RestriMed Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to u. <br />^ Attach this card to the b~f~ <br />or on the front if space ~ <br />1. Article Atldrassed to: <br />~~~ ~ ~~ <br />A <br />X ha <br />B. Received by <br />Agem <br />C. Date of Delivery <br />D. Ls daGVery address diflerem irorn Item 14 ^ Yes <br />Ii VES, amen delivery address below: ^ NO <br />5 <br />V <br />$v t <br />v ` ~Lt-~ 1 ` <br />~+' <br />((^ /~,, <br />\' ` I ~ ~ /~ e I/1 - / / 1 <br />1~ V ~(~(J~ I I LV 3. Service Type . <br />metl MeU I7 Express Mall <br />^ Raglslereo ^ Return Receipt itt MercherMiae <br />^ Insuretl Mall ^ C.O.D. <br />~ 4. Restricted Delivery'! (Exba Fee) ^ Yes <br />2. ANCIe Number . _ _ __ __ _ _ __ _ _._ _ _ _ .. .. - _- _ _ <br />(rrarrsterlromserv/a -- '-705 -3110 0003--1190 8218 _ <br />PS Forth 9811, February 2004 Domestic Return Receipt taes>awz~M-+sw <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />kern 4 k Restricted Delivery Is desired. <br />^ Prim 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 ff space permits. <br />1. ANCIe Addressed to: <br />~v~~~.~-e- ~~ <br />3s~1 ~h~~~y/l~~ <br />by (Pr/ntetl <br />^ AgaM <br />D. Is delivery address dik {F G(J['~~\Z ^ Yes <br />If YES, emer deliv~tt~tlRf rt3a~1°'rW \^ No <br />.~;,;y 1 ~ <br />3. SerNCe Type "/~ ~/ <br />Cenifietl Mall <br />Reglstereo ^ pt for Mercfuurdiae <br />^ Insured Melt ^ C.O.D. <br />4. ResWCted Delivery? (Extra Fee} ^ Yes <br />z. aroueNtanber 7005 3110 0003 1190 8201 <br />R trom se,>•~ <br />PS Forth 3811, February 2004 Domestic Return Receipt tazsasm-M-tsao <br />^ Complete karrts 1, 2, and 3. Also complete <br />kern 4 ff Restricted Delivery is tlesired. <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 beck of the mailpiece, <br />or on the tront'rf space permits, <br />X ^/.~ ^ Agent <br />1. Arbde Addressed to: <br />cSa.r'~ ~~„ ~~ <br />Wa1W . ~~G ~~~ <br />Date m Delivery <br />horn Item t? ^ Yes <br />es beknv: ^ No <br />~~~~~ ~ 4 20l'I <br />Q~ ^ Express Mall <br />Registered ^ Return Receipt for MercherWise <br />^ Insured Meil ^ C.O.D. <br />4. Restricted Dallveyt (Extra Fee) O Yes <br />2. Ardcle NUmbe _. _.___ ___,_._ _. __ _ _ .__.. _. _-___ <br />(frenster horn ~_ 7005 3110 0003 119 8225 <br />