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^ Complete items 1, 2, antl 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. Article AddressCd to: /y <br />~5~; ~ ~d SD; ~ ~.onSVJJ~~~- <br />~~~~; ~ <br /> <br />~.~. (Sax 3~5 ~ - <br />Q 3, a;e Type <br />~c\ I O ~5~ Certified Mail ^ Express Mail <br />Van t..L.l~S , ~ ^ Registered O Return Receipt for Memhandise <br />^ Insured Mail ^ C.O.D, <br />4. Restricted Delivery! (Extra Feej ^ yes <br />2, Article Number (Copy from service /abe/J <br />~ 159-l87- nl~ - <br />PS Form 3811, July 1999 Domestic Return Receipt 102595 91LM 1rB9 <br />^ Complete items t, 2, and 3. Also complete <br />item 4 it 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 />delivery address dMererrt hom item t'7 u ~~ <br />VES, enter delivery address below: ^ No <br />A. Received by (Please Pnh[Clearly) ~ Q.~~fe of Delivery <br />C. <br />t. Article Addressed to: 0. Is delivery addmss diflemnt from I(~m <br />"~ If VES, enter delivery address below: <br />~os~f ~la ~~, ~ard no~ V <br />l.ovK,t.~s*,~~wte~s <br />35z ~~.~a c~~. <br />3. S rvice Type <br />I n T. ~/ I I~ Certified Mail ^ Express Mail <br />a~ C~.U-~S, ~) Q I ~ Regrstered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restnctetl Delivery? (Extra Fee) ^ Yes <br />a Received by (Please Pnnt Cleady) 19. <br />C. ~natu" ~- .i j ~~ent <br /> <br />7? 7O Yes <br />^ No <br /> <br />2. Anicle Number (Copy lrom service labefj <br />r? - 159' 1,37 - Of 9 <br />PS Form 3811, July 7999 Domestic Return Receipt 1p259S%-M-1789 <br />