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7 ~ <br />0 <br />n .. <br />n <br /> <br />7 <br />n <br />O <br />~ Poatepe & <br />D CedlOed Fee <br /> <br />~ Retum Redept Fee <br /> (Endorsematrt Required) <br />~ <br />R Aesvrcled DaDVa7 Fea <br /> (Entlorsemerd Required) <br />a <br /> Tote) PoslaBe & Feea <br />l <br />] <br />] <br />o <br />~~ ~ <br />7 <br />items 1, 2, and 3. Also complete <br />estricted Delivery is desired. <br />name and address on the reverse <br />can return the card to you. <br />card to the back of the mailpiece, <br />'root if space permits. <br />~`~~ J essed to: <br />I/ 'sa 9 <br />a.t <br />~ <br />\ <br />~ <br />% <br />r <br />x <br />~ <br />I <br />! <br />a <br />m <br />~ <br />;1~ i e <br />? i {'rl~4tYf p <br />~~ 0~22~ <br />A. Received by (Please Print CleaAy) ~ e. Date of Deliver <br />C. Signa re" <br />^ Agen[ <br />X '~~~~--~ CJ Adtlresse <br />D. Is tleliyery a dre ~s~tliff~rent hnm hem 17 ^ Yes <br />It YES, epterdelivgr~tldress below: ^ No <br />~j C <br />o ~ ~~~ <br />3. ServiF;e ~~~r~e~~ ~'yls " <br />($.CertifledT4'ai ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchantlis <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />bet (Copy from service labs 7003 3110 0006 X803 338 <br />11, July 1999 Domestic Retum Receipt <br />102$95-00-M-095" I <br />