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/~- ~©©/~ D 5 ~ <br />/L1 ~ ~c~o ~ = 033 <br />/o- i~-os <br />Cam! /~Li~~ ~~ <br />f ~ / <br />~~ ~ ~ <br />~. Complete items 4, 2, and 3. Also complete_ <br />ftem 4 iffiestrjcted-Delivery is desired.. <br />Itr Print your name-and address on the reverse <br />s~ that we ban returl#'the carcfto you. <br />i ~ Rttach this card to'ffie bock of the rriailpiece, <br />or on the front rf space penults. <br />7. Article dressed f~~ <br />A Signat~ure/J~~ <br />X ~!" !i7 - 6~ Aged4 <br />O Ad>sse~'. <br />13. ReceiO€d~l'wiPrinted Namel "' 1 C./Date of ~eiw~rar i <br />D. Is eHvery address different from item Y? ^ Yep <br />ff YES, enter delivery address below: Q Nd <br />~~ C U vl. ~.l~i ~ <br />l'~7'C~ ~i <br />~~ 1~ ~. ~,~,~ ////~ 3. Service Type <br />s ~/ / ~V r d Certified Mall O Express Mail <br />~~, ^ Registered ^ Retum Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />'t'1. = icle Number <br />~~r_r_.~_~____~__,~__,,, 704 1350 001 1636 748 I, y <br />CERTIFIED MAIL,.,. FikGEIF' <br />(Domestic Mail Only; No Insurance Covera~ <br />I~ <br />m ~,;~,,,"~ ~ ~ I9 <br />-0 <br />.i Posto <br />ge: $.37 <br /> <br />~ <br />o Certified Fee; <br />Refu $2'~ <br />m Receipt Fee <br /> <br />~~ <br />k <br />o <br />~ : <br />I iofal Posfa ar <br />$1.75> <br />l~s ~~~' <br />~~T <br />~ e <br />9 8 Fees: 4: '2 <br />11 = <br />m <br />~ <br />Total Postage 8 Fees ~ ~ ~ 'a. ,., <br />~ Lrrt/J ~ <br />,. . ~ti- <br />s <br />~ S6e~..aor. nb'~l" / <br />