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09'83AN30 <br />"~ <br />O dd ~ ~ <br />~" • • • <br />• • <br />30N1S <br />S'0 0 <br />^ Complete items, - _; -- ~ ~ ~-. - <br />~ ~ <br />item 4 if Restricfw ~ - ~ -- ' <br />~ '^-~ ~ ~ <br />~ ^ Agent <br />^ Print your name and address on the revers -~ , <br />a ^ Addressee <br />so that we can return the card to you. g, Receiv ' ~.~ ~'~~ ~ ed N of Delivery <br />^ Attach this card to the back of the mailpiece, -__- <br />' or on the front if space permits. <br />1. Article Addressed to: D. Is tlelivery atldress tlifferent imm item 1? <br />If YES, enter delivery address below: ~ ^ Yes <br />^ No <br />{~ /~ _. /~ ~~ ~ <br />ppy~(~ l~t.U~ li~nf111$510h1~ <br />13~ 5 ~L'ut' <br />S'{~r~ee~' <br /> <br />/'~ <br />+W) `~'V~ / ' 6 ~2/h/ ~ <br />~~ <br />V •P-t0 3. Service Type <br />- <br />~ <br />1 ~Certifed Mail ^ 6cpress Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ' ^ C.O.D. " <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number - <br />7001 114010002 3883 7005`" <br />(Transfer /rom service label) ___ _- _ _ _ <br />PS Form 3811, August 2001 Domestic Retum Receipt tp2555-at-M-2509 <br />pp ~~aa V-I <br />m Postage $ 5 ~ m Postage $ ~ <br />~ ~s1A o~yvEp ~ a <br />~ cerdnee Fae ~ . / JQ~ no m CaNned Fae ~ 3 <br />m <br />PosMark p fll Realm Receipt Fee <br />f1J Retum Receipt Fee JON ~ ~}Igqpp~O.~ ° (Endorsement Requlrsd) <br />~ (Endorsement Required) L GU~ ° <br />Restricted De1Nery F <br />O Restrkted Delhrery Fea O (Endorsement Requi <br />O (Endorsement Required) <br />$ ° Total Postage a s $ ~. y2 <br />° Total Poeta9s 8. Fees t/ . / ~ Ism S <br />7 ~I v~arS rl ! O /~~ <br />rl enr 70 ~ ~~ryJ~ <br />ra ~ "45F1111 ~ / <br />..$l1Lf.U2ElC---~D(LA1-1y-_--.~4LCfLf]-1351D1s1---------------- ' - ------ - -- --- <br />Street, Apt. No.; ~ Street, Apt. No.;/~~~ <br />~ or PO Box No. -- - -- ° or PO Box No. <br />° - - - - ---------------- ° oln; Star 4 . <br />N GtY.State,IlPa4Rn/LKO nn ~~306 ~ <br /> <br /> <br />