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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Deliv~y 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 Address/Ie//d to: <br />~L~ll}-h ~(1 U/OI <br />z.5 ~~ ~, <br />~,~~~~~ CA 93~ <br />Z 159 137 290 <br />S Postal Serve - <br />by (Pleysp-P~ga B. Da of Deli a teceipt for Certified Mail <br />!1 J U !Ii/ ~ io Insurance Cove2ge Provided. <br />C. Sl azure - ^^ r^• r^r~^r^ennar Mail /See reverse) <br />~~/~ ~ /^~-Vr/^\\~~A[ ^ Agent <br />X-IG_J~~/~+~1 L 1 - 7 ~ Adtlre55ee <br />D. Is d~very address~liRer~(it fmm item {7 ^ Yes <br />II YE ,enter tlelivery atldress below: 1 ^ No <br /> <br />3. Service Type <br />~,Gertified Mail ^ Express Mail <br />^ Registere0 ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Exr2 Feel ^ Yes <br />2. Article Number (Copy lrom service label) <br />~ 159 • i37• Z~[~7 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1769 <br />+- - a <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. Article Addressed to: <br />Gz/~I~ ~~e/d <br />i9o~ hfdcn ~~~ ~. <br />l~r¢y.LS~ooro n1C 27~10~ <br />2. Article Number (Copy lrom service IabN) <br />~~(s9•i/37 ZS~ <br />PS Forth 3811, July 1999 <br />A. Received by (Please Phn[ Clearly) I B.. Date o f <br />/ /- <br />,~/a to <br />/~~P, 1. \ f ~! <br />greet 8 Numb95 l <br />f <br />i ZIP Cpda G <br />~~ glka, Stel <br />+/c (I / J <br />~ s <br />Grefled Fee <br />Spedel DdNary Fee <br />Res4iaed Delivery Fae <br />~ReNm Recelpt Show'rp b <br />Wtlom B~Deb Defvered <br />{lepsn5leteyll9veiq b Whom, <br />'oae,8 's ldbeve <br />40TI1L Postage 8 Fees 9 <br />~ <br />PosbnMr w Dale <br />_i <br />C. Sigl!~y~,ure )/~ /~~.~j//~^ Agent <br />D. Is delivery address dillerent hom item 1? ^ Yes <br />It YES, enter tlelivery adtlress below: ^ No <br />..J- <br />3. ~~Sffrvice Type <br />($..Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Men;hantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />Domestic Return Receipt <br />102595-99-M~17a9 <br />v <br />m <br />LL <br />a <br />'. 15.9 r13 7 -~ 2 8 5 <br />utel Service <br />:eipt for Certified Mail <br />tureens Coverage Provided. <br />t use for Intemagonal Mail (See reverse <br />I ~ 1, . I <br />=e <br />d Fee <br />Delivery Fee <br />bd Delivery Fee <br />Receipt 5iwwing ro <br />s Date Defvered <br />ecepSlq.igmwlnm, <br />dtremeS AEbM <br />LL Pose®6 Fmv~ `~ <br />_~~ ~ ~~ <br />