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<br />^ Complete hems 1, 2, and 3. Also complete <br />hem 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 'rf space permits. <br />1. Article Addressetl to: <br />~f~ ~ ~~~ ~ <br />. 1`~ 0.s ~ 2 <br />j s ~-~ c.~ g (-4 r o3 <br />as rme <br />^ AgeM <br />^ Addressee <br />B. Received b (Printed Name) C. Dale of DBINery <br />1 <br />D. Is delivery dress dfiter ng~Am ^ Yes <br />If YES, stoat delivery/~dr No <br /> <br /> <br />3 Service Type <br />- <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt tdr Merchandise <br />^ Insured Mail ^ C.O,D- <br />4. Restricted Delivery? (Extra rye) ^ Yes <br />} 2. AniGe Number, . ; , . - ' i ' t t ~ i 1 <br />1 (iransfe~tror~ser,'vjtjei)atje°:~~~~r~~r~~~~~, j j J~, <br />PS Form 3811, February 2004 Domestic Return Receipt iDZSas-ae-r.+-ts+o i <br />'~ <br />~ D' ~ ~ <br />~~ r. ~ <br />S <br />F1~[~ ~. <br />-° Peeress S "n <br />lu o <br />° carursad Fee `~Y pm <br />~ Return Redept Fee (~ < <br />(Endorsement Reauiretl) ~p ~~ <br />° Restricted DeOVery Fee <br />rl (Entlorsement Reculred) <br />rU Total Postage & Fees <br />fL ' <br />° sent i' <br />° Jaffe D. Herrick --------- <br />r Sireat tY <br />orPO~ 179 S Street k 2 <br />-------- <br />crcy; s Salt bake City, Utah 84103 <br /> <br />