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.~ <br />.~ <br />rv <br />u1 .. <br />o- <br />`" ~ ~tar~ R2~i, Oen~e ,18~Q3 <br />a <br />°~ <br />3~ <br /> <br />o <br />~' <br />~~Fea ~ D <br /> <br />~ __ <br /> ° <br />"` ~ <br />p RetumRedepiFee <br />(ErMOreemeM RepulRd) F'`j' <br />7 , ~ <br />SdS ~y,~ <br />, <br />`~ <br /> \ <br />° <br />o Resbkted Dellve~y Fee r <br />I 2~ <br />MAY <br />~ (Endo~aemenl Rettuhed) ~ <br />~, <br />Tore) POelege 8 Fees $ , t f~24A <br />0 <br />f1J ` 4 5 <br />LV <br />4 <br />O <br />o to <br />,Ta~1~ sa~is ea <br />r` ~:-a--r~,r-...----------------------------- - <br />^ Complete items 1, 2, and 3. Also complete A. SignaXture <br />a ~~ ~~ ~~,, <br />item 4 if Restricted Delivery is desired. L , <br />G/a C,~tJr (ti.LG~~ <br />X ^ Agent <br />^ Print your name and address on the reverse ^ Addressee <br />so that we can return the card to you. e. Recgived by P <br />n~+ed <br />Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, ~ <br />~ <br />JQ ~~~ W jl7$ <br />or on the front if space permits. <br /> ^ <br /> D. Is delivery adtlress different from item 1? Yes <br />1. Article Atldre55etl to: If YES, enter delivery edd ow: ^ No <br />j ~ ~~~ o <br />;ack B. Wiltse z ~, <br />2614 East 20th Apt. J 5 3. Service Type d ~ <br />Farmington, NM 87401 ^ Certified Mail <br />^ Registered' y+,. turn for Merch <br />^ Insured Mail ^ C.O. . <br />4. Restdctetl Delivery? 7EV2 Fee) ^ Ves <br />2. ArtlcleNUmber 7002 2410 aoo5 9145 9571 <br />(rransier /rom service labeq <br />PS Form 3811, August 2001 Domestic Retum Receipt 102595-02-M-1540 <br />