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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name end 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, AArticle AlId 1tlresse/d t0: <br />V-~~~ k'4l 1~ Cla/~ / <br />s ~ ti~ I ~, ~ ~ti<<r pies <br />~9 ro NII ~a.`r~~~~P ~~. <br />~e~I~~r ~7i~~J tL 335>a~ <br />A. Receivetl by (Please Pnnf Clearly) ~ B. <br />C. Signature ~ ^ <br />X. ry '_~l(J fJV-'Ji-' (1~- ^ Agent <br />VI ^ Addre~, <br />D. Is deli address tlitlerent from item f? Yes <br />If YES, enter delivery atldress bebw: ^ No <br />.~ <br />3. ervice Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Ar~~- ` _- ~^^_LL4.~emdcc ~ ww -__ <br />PS F ~ - - - ~ ,~/'~ <br />.._~ Z 159 137 275 !'" <br />US Postal Servlca <br />Receipt for Certified Mail <br />No Insurance Coverage Pmvidnd <br />102595-99-M-t'!a9 <br />