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<br />^ Complete items 1, 2, and 3. Also complete <br />item 4 i} 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 />t. Article Addressed to: <br />~orr,nan Gast-geld <br />~}.o.3ox ~3~a <br />Gl;~~oh, UJ ~ I5~(~ <br />2. Article Number (Copy Imm service label) <br />A. Received by (Please Print Clearly) ~ R. Date of Delivery <br />C. Signature <br />^ Agent <br />cX Addressee <br />D. Is delivery adtl rom item 77 ^ Vas <br />If YES, enteriQ~ress low: ^ No <br />z ~. <br />}~,~ <br />`~(= <br />3. Se~ice Type"/~~~ <br />IN Cemfietl Mai ress Mail <br />^ Registered ~RetOmROEElp4tac.ldesh <br />^ Insured Mail ^ C.O.D. <br />4. Resldcted Delivery? (Extra Fee) ^ Yes <br />7o9`f s~oo Oo/S N~51 .3 <br />PS Fonn 3811, July 1999 Domestic Return Receipt <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 />1M/Article Adtlressetl to: <br />'„f r ~rnt5$en`Qk~r <br />ga a -I~ ~S t~ t~:~~`~,J~- a ~- <br />~alisade, ~, ~,sa L <br />102595~OO~M-0952 <br />A. Receivetl by (Please Prinf Clearly) B. Date of Delivery <br />JA~r-~tS ~t ~ok0.He <br />C Signature <br />X ^ Agent <br />'S(x..~rJ ^ Addressee <br />D. Is tlelrv ~~ atl ~~rr~~s~.Jfe ~ ^ Yes <br />If YES, ent Qepv address be w No <br />,, <br />' ,' 1 <br />„>, ~ .. - <br />~•...1 <br />3. Serv ype'~ <br />Certdietl Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchandse <br />^ Insuretl Mad ^ C.O D. <br />4. Restrictetl Delivery? (Exf2 Fee/ ^ yes <br />2. Arice Number (Copy Imm service labeq <br />7v~' ~ .300 008 51'~s/ 3r3J <br />PS Form 3811, July 1999 Domestic Return Receipt i02595~00-M-0952 <br />