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<br /> <br />~ „ <br />~:;.'FAIFPLAY. C0~ 80440 ~' .. , .. <br />-- ~.:' .°~. <br /> '`•~ IMIT ID: 0609 <br />ru <br />Poslag¢ <br />E <br />~ <br />~ <br />Certlg¢d Fee 2.10 <br />`D 1 <br />50 <br /> Return Receipt Fee . Q <br />S <br />S (Endorsement Requhed( <br />O `: <br />~ Resiricled pefivery Fee (•1 <br />~ (Endorsement Requimd( Q ~ <br /> ToLI Posta <br />e 8 Feee $ 6.24 ~ /07/0 <br /> g <br />~ - - <br />o <br />No. <br />4 <br />__ _- _. f <br />~ ^ Complete items 1, 2, a. ~ ~ .. ~ ~ /J ~ ~ ~ ~ 3iivery <br />item 4 iT Restricted Oedv;. j ° /Q Lt (. i.~.LrrG~ /-y-pL <br />^ Pnnt your name and address ~~, . .., <br />Si tore <br />C <br />so that we can refum the card to you. . ~ Agent <br />^ Attach this card to the back of the mailpiece, X ^ Addressee <br />or on the front if space permits. <br /> D. Is tlelivery address dRferenl lrortt Rem 1?' ^ Yes <br />i t. Ankle Addn~sed ro: <br />~ {~2/'~ C'~~ Gf'erK~- /~~ecord--p~- If YES, enter delivery address bebw: ^ No <br />a <br />~ <br />P or Bay ~ <br />/ <br />/ <br />• <br />/ <br />~~~~~ <br />~ <br />iL/1-~~ l~V 3. Service Type <br /> ^ Certified Mail ^ Express Mail <br />i ^ Registered ^ Return Receipt for Merchandise <br />i ^ Insured Mail ^ C.O.D. <br /> 4. Restdcted Deliveryt fExf2 Fee) O Yes <br />~~n7001 1940 ~0~4 6882 1876 <br />i <br />PS Fortn 3811, July 1999 Domestic Return Receipt 102595A0-M,W52 <br />o2oa 2 <br />~~1~~ ~~ <br />3 a ~~~ <br />~~ ~~~ <br />