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<br />^ Complete items 1.2. and 3. Also complete <br />item 4'rf Restricted Delivery is desired. <br />^ Prim your name rmd address on the reverse <br />so heat we can reiwrl the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the from ff space permits. <br />1. Ankle Addressed m: <br />~rva~~sr~ot~.f/, .~iie <br />.~.~~3 Go ~l ~~ <br /> <br />8. ReceNed try (f~sdedrivarneJ <br />D. R delivery address ~erent horn itanr i? <br />n Y>:s, a~ aerrvmy address t>e~ <br />a seMce Type <br />B'CeMflad Ma'I ^ Fps MeA <br />^ Registered ^ Return Receipt for Metchardlse <br />^ Insured Mall ^ C.O.D. , - <br />4. Reatrleted Detrveryt (Exaa Feel' ~:... ~.: ^ Yes ~ ~ ~ . <br />2. ANda Numdrs - ~ , <br />iRens/er rrom servks rebep 70Q5 182Q flflfl8'fl816`-~3_904- <br />PS Form 3811. February 2004 Domasdc Return Receipt ~ ~ ~ .,oasa5-0z~.rasw <br />~ • . . . . . <br />^ Complete kerns 1, 2, and 3. Also complete A. <br />kern 4 ff Restricted Defivay is Desired. ~ ~ Agent <br />X <br />^ Pnm your name and address on the reverse ^ Addressee <br />so that ova care return the Card to you. B Recafved by Name) C. Date M Delivery <br />^ Attach this card to the bade of the mailpieca, ~ ~ ~ <br /> <br />- or on the front'd space permts. 0 ~ <br /> <br /> D. IS defway adNest ddlerart loan 72 <br />t. oracle Adaressad m: Ir ~. ~ <br />delivery admees hebw. ~No <br />Try- Couv~- Gv,~f~r <br /> <br /> <br />,,,( <br />J'~J'e C© <br />/G <br />~ <br />~/~J 3. Servm Type <br />e'cerul~edMan <br />^Man <br />2o,~/T <br />J , <br />L ~ ^Registered ^Relum Recelptfw MaG,mMise <br /> ^ Insured Mail ^ C.O.D. <br /> <- Restricted Denver7R t~',raa Fee) ^ Yes <br />z''~"""'~` ~ 7flfl5 182^ 0008 OB17 Q1flfl <br />(fransler lrwn service mbell <br />PS Forth 3811. February 2004 Dom Retrmr Receipt ,~,sas ; <br />