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^ Complete 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,jj~~Arti~~clle Addressed t'oI: <br />J.>Q~70f~ HEIIIIClf/n <br />~3~0~ ~r,dd,~ Dl. <br />J~~~~ ~a„~ ~ 7717$ <br />2. Article Number (Copy rirom serv~ label) <br />A Received try (Please Pnnt Clearly) B. Date of Delivery Z 15 9 13 7 2 8 7 1/ <br />stet Service <br />C. Signat}ye eipt for Certified Mail <br />-- /J// //- - ~ - - ^ Agent ......~.e rnvnreae Provided. <br />D. h delivery address difle~ent hom item 17 ^ Yes <br />If YES, enter delivery address below: ^ No ~ <br />\~ <br />a <br />3. ySS~ervice Type ~--~~' <br />{YCenified Mail ^ Express Mail ied Fee <br />^ Registered ^ Return Receipt for Merchandise ~~' <br />^ Insured Meil ^ C.O.D. !d Delivery Fee <br />4. Restricted Delivery? lFxt2 Fee) ^ Yes _ ~~ pep„yy Fee <br />PS Form .3811, July 1999 Domestic Return Receipt <br />^ Complete 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. Micleyy'//Addres'sed to: <br />~Q 4KAA.~f'll `~-~lcl Nth ~~ <br />P.~. ~~ly 13{3 <br />Q~~=~~~~~ Ca ~3ssc~ <br />2. Article Number (Copy lrom <br />~~ IS~~ /.3~• <br />PS Form 3811, July 7999 <br />ti <br />labeq <br />1p29er+99-M-1199 <br />A. Received by (Please Pdnf Clearly) ~ B. Date of Delivery <br />I I I r f~ryy <br />C. Si/gna~tun; ///~~~ <br />X ~Al-'~i~' ~ Agent <br />^ Addressee <br />D. Delivery address tliAerent from ~nem 17 ^ Yes <br />If YES, enter delivery address bebw: O No <br /> <br />m Receipt Stbwlnl <br />~roTPL Pestaw6Feee ~E d` I <br />vZ `159 137 289 <br />JS Postal Service <br />Receipt for Certified Mail <br />Vo Insurance Coverage Provided. <br />3. Service Type Post>~ S <br /> <br />~Cenified Mail ^ Express Mail <br /> <br />^ Registered <br />^ Return Receipt for Merchandise Cef6fied Fee <br />^Insured Mail ^C.O.D. ~Spedal Delivery Fee <br />4 <br />. Restricted Delivery? (Extra Fee) ^ Yes <br /> Reshided Delivery Fee <br /> Rehm Receipt Showing b <br /> i MIhMn 14 Dalo 6eevered <br />Dortrestic Return Receipt <br />r02a95-99~M-1 ]a9 <br />~ Tore <br />~ Postrn <br />0 <br />w <br />y <br />a <br />Fees I a <br />1.-. L___________ <br />