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<br /> <br />0 <br />a <br />0 <br />m ~ <br />t` cenlned Fee 1. ~~ Jo <br />~ c <br />Rehm Receipt Foe 2 p ~ ~ ^ <br />~ ffnEOremnerrt RerptlreW ,v ~ 0 <br />OO (FilddeelnantlReq ert~ f' ' 1 <br />1bW Paelape6Fes aa~d <br />0 <br />~ p ent a Neme (Pisses Pnnt croeryy) Ro M comPleteA q me0er) <br />O CovtTY CorIM~SSio.ili~ <br />O R apt No.; or PO Bor No. <br />o _Y~/ Msfri s,. <br />.. <br /> <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 />A. Received by (Please <br />B Date of Delivery <br />1. Article Atldn;ssetl to <br />r'~/t17 Cprtry CJr-'~~r ~iSx~{ <br />6/~~s~;%3~.~G Cob/oB9 his <br />G. Sig a re <br />X ^ Agent <br />~/~.(, //~J / ~~ ^ Addressee <br />O. Is tle~ry address ddlerent fmm item 1? ^ Yes <br />If VES, enter tlelivery atltlress below: ^ No <br />3. S rvice Type <br />~ <br />) <br />Certlfied Mail ^ Express Mail <br />^ Registered ^ Re[urn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Ext2 Feel ^ yes <br />2. Anicle Number (Cop y!rm service label) <br />PS Form 3811. July 1999 Domestic Ret r0259S99-M-r?e9 <br />• <br />