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^ Complete items 1, 2, and 3. Also complete <br />ftem 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 />~~a I''C~ g~ c~~.i~.~ e~~, <br />~`cs~ItliQ ~~cult-icv <br />t <br />i <br />~ , ° /`1 <br />~'t:~.t 1JI.:.1S ~ C c <br />;llsz <br />A. Received by (Please Print CleaAy~ B. pate of Delivery <br />`~ <br />C. Si atu <br />X ,..~ /~ ~ ^ Agent <br />(,r,~ ~ ^ Addressee <br />D. s del' dtl tliHereM from it 17 <br />If VES, enter delivery address below: ^ No <br />:~ <br />3. Service Type <br />ertified Mail ^ Express Mail <br />Registeretl ^ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ yey , <br />2. Article Number (Copy /rom service la <br />~~ d ~~ ~~ aa`~n a~3U <br />PS Form 381 1, July 1999 - Domeshc Return Receipt 192595-0OM-0952 <br /> <br />m <br />s <br />N <br />~ Posta <br />e 3 y <br />~ ~ ~"~ <br /> g _ ~ <br />, _ <br />\ <br />' <br />r.l <br />N <br />Cemheo Fee <br />~1 ~ <br />L <br />~ , ~~ <br />/,~.. <br />~J~ / -' - ....~ p <br />- <br />t <br /> ... / aos <br />mark <br />•• ~ <br />S Re[urn Receipt Fee 1- ~ <br />1 ~ ~ ~ Here ~ ^~ I <br />~ ~Entlorsement Regmredl 1 ~ i ~ <br />0 Reetrictetl Delivery Fee .\ ; <br />[7 ~EnOOrsemen[Requveol ~\ - ~ <br />~ (I4 ;1~ <br />\-= <br />" <br />r Total Postage & Fees $ , - <br /> <br />~ <br />'~ Sent Ta .,~ <br />`l <br /> <br />t <br /> <br />~ V .. <br />O Street lyft No.: w PO Box No. <br />~ ~ lC ~ ~~~ <br />Y <br />...--------~--------.... <br />~--. <br />o ------------- <br />-~~-~-- --------- <br />CRy. Srare, Z(PrA ;-----~---...- ~ <br />-4- --- <br /> :rr r,r <br /> <br />