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^ Complete items 1, 2, and 3. Also complete <br />item 4 rf 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 mallpiece, <br />or on the front if space permits. <br />1. AAI/iclpenAd^dre0shsne/tl~l-o:1 ^ ,.]' ~ p - <br />~~~1 N (L~ ~ V W( `v" ~ ~~ <br />~y 777 Ca dal ~ <br />C~~ , ~ U <br />~ /la 5- <br />A. Received by (Please Prinr CleadyJ B. Date of Delivery <br />_3- o-d <br />~i~ature <br />X ^ Agent <br />O Addressee <br />D. Is tlelivery adtlress tlitlerent from item t? ^ Yes <br />II YES, enter delivery address below: ^ No <br />3. ~~~5......,,e///rv~ce Type <br />yt Certified Mail ^ Express Mail <br />'^` Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Erma Fee) ^ yes <br />2. Article Number (Copy /rom service labep <br />1099 ~a o CYz~I .~"0~3 ~ 77 <br />PS Form 3811 ,July 1999 Domestic Return Receipt <br />^ Gomplete 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 />^ A[ach this card to the back of the mallpiece, <br />or on the front if space permits. <br />1. Article Adtliessed to: <br />Gc~~~-~~~~ ~~ <br />33o I <br />~~f d K <br />737x3 <br />p. Article Number (Copy /ram servce label) <br />----- 7nC0 12 <br />PS Forrn 3811 ,July 1999 <br />104595.99-M~1]09 <br />A. Received by (Please Prinl Clearly) B. Date of D`eliv~e~ry <br />_- ___ _-/~_~'V <br />C. Si/gnat,Iuyre_) n I(/~ ]~ /~ /~ ~nh/~I ~^'/ <br />X \t/1 IX .CI~L.C/Ik~IM` ^Agent <br />DA^ Addressee <br />D. Is delivery address different Irom item 1? ^ Yes <br />If VES. enter tlelivery address below: ^ No <br />3. S ice Type <br />~Certilied Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. _ <br />4. Restncted Delivery? IExrra Fee) ^ Yes <br />oGb l ~~3 Q3S,~-____ <br />rmmacuc Return Receiet 102595-99-M4)09 <br />M1 <br />0 <br />N <br />Poeteve I a <br />Cedl9ed Fee <br />Rehm Receipt Fee <br />(Flidorsement gegulmd) <br />RastdAed Delivery Fee <br />(Endorsement Requlrarll <br />Total Poetepe b Face <br />or <br />Poale9e I S <br />Cartlfletl Fea <br />Retum Receipt Fee <br />(F~MOmamant Requlrorl) <br />Restdmed DelNery Fee <br />(Endorsement ReQulretl) <br />Total Poetapa 6 Fees <br />or <br />FFd ~ ~_ <br />rjn~POStrn/erl~ <br />N <br />!U~/ <br />~ `" ~~, <br />1 Fesprpr(a ~ 1 \II <br />• <br />