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<br />^ Complete }tams 1, 2,-and 3. Also complete <br />Item 4 if ResMctad Delivery Is desired. <br />^ Pdnt your name and address on the IeVerse <br />sa that we can return the~card to you. <br />^ Attach this card to the back of the mailplece, <br />or on the front tt space permits. <br />1. Article Addressetl to: <br />Ctielc( Cr,~ n~X- -V.~~o{~bl~~G <br />C) l~x. 7~ <br />G~c~~p y c~ ~~~ ~ ~- <br />A Sigrcatur -y <br />X ^ Agent <br />/' • ^ Address <br />B. Received by (Pdnfed Name) O. Date of Deilve <br />~N~i MATX <br />D. Is delvery addre3s different from kem 19 ^ Yes <br />If YES, enter delivery adtlress bakrx: ^ No <br />I3. S~~erv~~ice~~~T~ype <br />Lltieratied Mall ^ Express Mall <br />^ Registered ~.RS um Receipt ror Merchendls <br />4. RestrlMed Dellverj~! (EZha Fee) ^ Yes <br />z. ArtIclaNumbar 7aa5 ^a39a aaaa 6419 8884 i <br />(lrensier nom servke I~ <br />PS Form 3811, February 2004 Domesao-Rebun Receipt tozsssoz-M•tsa <br />