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~,~ boa S = 1, 3 c~ <br />,~ JL <br />~~ ~~ ~~ <br />~ t ~~~ <br />~' ~dmplete ltems'1, 2, and' 3. Rlso domplete. <br />it~tn 4 if Restricted Deliveryis desired. <br />it6 YRYimt your name and address on the reverse <br />so that we can returo the card to you. <br />~. ~ {~tfach this cab to the back of the mailpiece, <br />' 0e on the front ifspace.permits. <br />i, APficle Ad ssed to: <br />~~ ~ ~2 f Y'JiJ ~G3 !'/ 'Z.~c <br />ke (~~ <br />o ~~ <br />~~~ y <br />2. Micle Number i_ j ,'~ Q ~ 4 13 <br />...__~ <br />V'I ~ <br />m <br /> ~ ~ <br />M1 <br />m Dd91~s <br /> <br />~ Poataga a <br /> ., <br />'~ <br />O CeNged Fae <br />~ <br />~ ReWm Redept Fee <br /> (EMOrsartreM Requlrad) <br />D Res4lcled Oelhrery Fee <br />V'1 (F~MOroement Required) <br />m <br /> <br />'~ <br />Tatel Postage 8 Fees Q <br />V <br />S <br /> <br />o t <br /> <br />0 / / <br /> <br />~{lt <br />~ <br />S~ <br />M1 . <br />._.___ <br />3Yree(. <br />M~ n <br />~ f_ ~ Agent <br />~- <br />O. is delivery address differegt Rem 17 <br />-- If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhandlse <br />^ Insured Man ^ c.o.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />n~rtna.._7,1,3.6,7.435 ,,.,..,.. <br />' _ _ _. <br />Po6bnerk ` <br />Sd$I!Rar~. . <br />r. ~ ~_ ! ~~ <br />