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^ 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 />r. Article Atldressetl lo: <br />~~a~ ~~~ ^ <br />(".-~) ~ D <br />~ Sias <br />/, ~ R_eceived by (Please Print Clearly) B. Date of Delivery <br />17'G(yC of M `Cc"ri ~~K 1-3' <br />C. Signature i4v' <br />( y~ ^ Agent <br />~i1 !fCvYrG~ JJl e ~ ^ Atldressee <br />D. Is tlelivery adtlress different Irom item 1? ^ Ves <br />II VES, enter tlelivery adtlress below: ^ No <br />3. Se~ice Type <br />Gertilied Mail ^ Express Mail <br />Registeretl ^ Return Receip[tor Merchano~se <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number (Copy /rom sernce /abelJ <br />7o9~J 3~2o acbi SCb2~3 ~236~ <br />PS Form 3811, July 1999 Domesuc Return Receipt toz595~99~M-1109 <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 />1. Article Adtlressetl to: <br />~~ v/ / ~.~lf-/~ <br />`~''/ S~ 3 ('o ~ ~ <br />C~ C a <br />~ ~~as <br />A. Received by (Please Pnnt Cleary/ B. Dale of Delivery <br />/1 ~ ~ ~ <br />C. Si aNre ~~ /~ <br />D. Is tlelivery address different fmm item 1? ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />3. S rvice Type <br />Cenilied Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Mercnantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delrvery7 /Extra Feel ^ Yes <br />2. Article Number (Copy /rom servse label) ~ ' <br />PS Form 3811, July 1999 Domestic Return Receipt <br />W]595-93M-1]89 <br />Rrmrm Receipt Fee <br />(FSdorxment Raqulradt <br />Resl~lcted pelivery Fee <br />(Endoreement Required) <br />Total Postage 6 Faee <br />CertHlea Fee <br />'Return Receipt Fee <br />(Endorsement Required) <br />Restdctad pellvery Fee <br />(Entlweemgnt Required) <br />Toml Postage 8 FNe <br />U.S. Postal Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only; Np Insurance Coverage Provided) <br />U.S. Pos[al Service <br />CERTIFIED MAIL RECEIPT <br />(Domestic Mail Only: No Insurance Coverage Provided) <br />