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M-2005-006 <br />^ Complete items 7, 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 Addressetl to: <br />A Signature <br />/ IJ~AtJ€nt <br />X V ~r ^ Addressee <br />B, ecelyed by (Pr/nred Name) C. Date of Delivery <br />G{/ l~ ` L <br />D. Is delivery ad mss different m item t? ^ Yes <br />If VES, enter tlellvery address below: ^ No <br />.gyp t,.r~ C1~AV.~ 5 t7 F~ ~AM tLN <br />~a)C Zgru ~S <br />s ~(~ Fa.A~~,l 5 ~, ~ A <br />9~{~ 29 <br />3. Service Type <br />L9 Certified Mail ^ F~cpress Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />D Insured Mail ^ C.O.D. <br />4. Restdcted Deliveryt (Extra FCeJ ^ yes <br />2. A[ticleNumber 7004 2890 0003 828 7439 <br />(l7ansfer /rom service /abell <br />~ PS Farm 3811, February 20D4 Domestic Return Receipt to2585-02-M-t54a <br />