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<br />^ Complete items 1, 2, and 3. Also complete <br />item 4 it Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the cartl to you. <br />^ Attach this card to the back of the mallpiece, <br />or on the front if space permits. <br />1. Article Atltlressed to: <br />~f0.V~C~S lMeCOYI'NicC, <br />S~ a~~ Co. r~~l 3 - <br />C~e~y ~%U . ~~~d5~ <br />Received by (Please Pnnr Clearly) B. <br />C. Signature <br />~~ p ^ Agent <br />X~6y1,Cfy.~ ' (,~'~I~L~/ ^ Addressee <br />D. Is delivery address different from item 1? ^ Yes <br />If VES, enter delivery atldress below: ^ No <br />i <br />3. Service Type I <br />~rtibetl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restncted Delivery? (Extra Fee) ^ yes <br />I 2. Article Number (Copy Irom service IabelJ <br />1 ~0`1~1 3220 oaol $023 oylN <br />PS Form 3$11, July 1999 Domestic Return Receipt <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 mailplece <br />or on the front if space permits. <br />1. Article Addressetl to: 11 <br />L.l)al ~~ r ~'Ke r <br />3301 ~~~~il1c~`, <br />~l~~d ~ oK <br />7 3703 <br />10259599-M-Ila9 <br />A. Received by (Please Pnnr Clearly) B. Date of Delivery <br />C. Sign1~ture , /, << <br />X /~ l -~~ /~~ ^ Agent <br />I v G '/ I ^ Addessee <br />D. I~tle`livery address different from item 1? ^ Yes <br />If YES, enter delivery atldress below: ^ No <br />3. Service Type <br />~difietl Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchandise <br />~ Insured Mail ^ C.O.D. <br />4. Restnctetl Delivery? (Extra Feel ^ yes <br />2. Article Number (Copy Irom service labep ~ ' <br />~d~9 32zo ca~no( Soz3 o~i <br />PS Form 381 1 ,July 1999 Domestic Return Receipt 102595-99-M-I)e9 <br />Ppsle9e E S 5 <br />~ <br /> ,yn <br />Cartfllod Foe 1 ~ ~o ~ <br />H ~ <br /> <br />RaNm Racelpl Fea <br />(Fsooraemnt Requliedl <br /> <br />I ' 2S I W~ s~T,Blk <br />n~ <br />_ ~ ere <br />Reatdeted Dallvery Fee <br />(Endorsement Requlredl ~~~ (n~~/~ <br />./ <br />Total Pntage 6 Fen ~ 2 -q ~ \`/_ , ~ ~ ~~ <br />Ndme (Plaaae Prlnr IeC yJ (TO ba romplelod Dy mellar) <br />stroeq Apt No.; er PO 9or NRa <br />CI fsre, IP.1 <br />.ll <br />~1 Postage { h <br />L .~~,^'D <br />r=j certmea Foe r (~ r ~ g,~ ~ <br />~ Ratum Recalpt Fn tp 9j Re <br />(Fntlorsemant Requlradl \ ~ ~~~ <br />~ Restdcled DalNery Fn <br />0 (Endorsemnt Regulmd) - <br />0 7oret Poareps e Fen $ ' 1' 1 rJ > ~ <br />ti <br />N Name (Plnee Prlnf lee tyJ (TO W romplefetl by matter) <br />0 533.Q.1 No --~~a ~~~~ ~--------------------......... <br />r cl star., P. e ' n~ 7 3 <br />.r <br />