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<br /> ^ Complete items 1, 2, and 3. Also complete A. Signature <br />' item 4 if Restricted Delivery is desired. ~ O Agent <br />. ^ Print your flame and.address on the reverse X Adtlressee <br /> 5o that we cen"fetUrn'thB Card t0 <br />ydu~. <br /> . <br />^ Attach this card to the back of the mailpiece, B. Recei ed to of Delivery <br /> <br />~ or on the front if space permits. <br />- 1. Article Adtlressed to: D. Is delivery address different from item t? ^ Yes <br /> <br />~OIA~{PX <br />~~ `.L/n1~ISSIvec-Y~~ If YES, enter tlellvery address below: ^ No <br /> ~ <br />l32s F~s~x' 1 S{-re e.~ <br /> ~ <br /> "O~ <br />~` <br />~ w~` ` ~ ~ S <br /> - 3. <br />ervice Type <br />~Certifed Mail ^ Express Mail <br />.~ .-- - _ - ^ Registered ^ Return Receipt for Merchandise <br />- - - _- - <br />a - ^ Insured Mail ^ C.O.D. <br />.. <br />: <br />- _. - -- ~ <br />~. <br />4. Restricted Delivery? (Extra Feel <br />^ Ves <br />t -. ~ = <br />~` ~ ~F~ A - <br />u <br />} P.+ <br />} ~~ <br />ib ~ z. ArticleNUmber 7001 1140 <br />(runs/er from service IabeQ 0 002 3883 7135 <br />~ <br />,Gc <br />y <br />s <br />r1rr~~'~ys ~,~ x~i ~ s PS Form 3811, August 2001 DOnleStiC RB ill m RBCeipt 10255-01-M-2509 <br />3n~ 9 H t~':+ <br />~ • • - ~ <br />~7 -a <br />P <br />~~ ~ ~ <br />; <br />i' <br />` ~ x ~ ~ ` <br />~ ~ ~ ~ M1 <br />s <br />~ <br />r <br />. i <br />k <br />~ <br />y <br />7~~{i~ <br />.~~ ~~f ~~~' m P ~~ <br />t <br />4i. 4 <br />~ y <br />` <br />'R <br />' - <br />M <br />RS M <br />- <br />1 osfa9e S ra / <br />y <br />~ <br />-?.k?1¢ 5 <br />i <br />4. <br />~4 <br />F <br />$ -~ '~~' <br />¢z¢'~ S <br />`M p )_ <br />= <br />t''-^ <br />s~ ~ <br />Rl Certified FOe ~ ~~ ~ <br />_< <br />~~~ <br />~ <br />.• ~ .~d~.. M-~'"* ; -;.?ts <br />Eye _ aw,.~ <br />.v3+~. °* y~fr,aS'~µ •A ~' <br />S <br />~ ~ <br />.-„i a S -- <br />,5 ~„ .~ _ <br />n s f1J <br /> <br />O Rehm Receipt Fee <br /> <br />(Entlorsement Requlretl) ~ <br /> <br />~ ~ <br />~ Postmark <br />~ <br />~~ Here <br />rk~cs~ ~ <br />~~fi ~~q« Q Resbicted DelNery Fee ~ <br />E p~ <br />~ „ <br />3t- ~ ~~ 3_ , ,, (FStlorsement Required) . <br />N <br /> <br />T ~ L <br />_ <br />~ ~ <br />I <br />~~ t t ~~ ~ <br />,; <br />y.. <br />~~~ 7 <br />~ <br />~ p Total Postage 8 Fees $ 3. 9 y .ZZ~B c- <br /> <br /> <br />1~ '~ <br />~ ,x <br />~ ~ BOt <br />~ <br />{ <br />t}tl <br />f{ g ~ <br />r~ <br />Street <br />A <br />f <br />N <br />NNe rr <br />~~ ~ <br /> <br />` '` p <br /> <br />~ , <br />p <br />. <br />o.; <br />- <br />or PO Box No. / <br />City, Stete, IlPt -- -- 4'~~"'~~ <br />