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~ \ <br />i ^ Complete items 1, 2, ... , ~ elivery <br />Rem 4 if Restricted Deuv.,y ° ~/J,h ~a.r.LifC~. /'y'-OZ <br />I ^ Print your name and address ~:, - <br />so that we can return the card to ycu. C Si lure <br />^ Attach this card to the back of the mailpiece, X ^ Agent <br />1 or on the front if space permits. I , ~~/~- U7/LU~^~ ^ Addn;ssee <br />1. Article Addressed to: <br />~ f ~! ~ C~ ~ G'~e r~v~ /2~ec'a r~--°r- <br />P of Bc~ ~.~a <br />~p~~ ca 8DSAs~~ ,. <br />D. Is tlalrvery atltlress different fn„n item 19 U Ye: <br />M VES, enter delivery atltlress below: Q No <br />3. Service Type <br />^ Gert~ed Mail ^ ERpress Mail <br />^ Registered ^ ReNm Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Resldcted Delivery? (Extra Fee) ^ Ves <br />~J~7OO1 1940 0004 6882 1876 <br />i PS Forth 3811, July 1999 Domestic Return Raceipt Io2595-00-M-0952 <br />U.S. Post al Ser vice <br />CE RTIF IED MAIL RECEIPT <br />(Do mesti c Mai l Only: No Insurance Coverage Provided) <br />..D <br />m (Q,~FAIIBLAY: tb' 80440 ~ n~: ~ <br />p <br /> . <br /> ~'~ IRIIT I0: 0609 <br />ru <br />Postage E <br />m <br />~ Certlfed Fee ~•1~ <br />..D <br /> <br />~' Rehm Recelpl Feo 1 •~ P <br />S <br /> (Endorsement RequimA) <br /> <br />~ Rmelctad Delivery Fee ~ (~ <br />~ (Fndosement Regwrt7) Q t7 <br /> Total PCStage 8 Fero ~ 6.24 ~ (07 f 0~ <br />O Z <br />~~ <br />reef, AP1. No.; <br />ra or PO Boz• No. <br />O .............................................................:.. <br />p Clly, BHfe, ZIPf / <br />N <br />