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^ Complete items 1, 2, and 3. Also complete <br />item 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 if space permits. <br />1. Article Adtlressed to: <br />~.on9mon~ So~% Ll onseWa~+~ <br />q 59 5 Ne/son Read Lao; <br />.Co.~9rrro~~i C4 ~o5al <br />A. <br />/' L ^ Agent <br />~NLf' ' ~ Addressee <br />Received (Printed Name) C. Data of Delivery <br />nee M~~n~,~ ~-~~-°Z <br />Is tleliv~ry atldress different f/om item t? ^ Ves <br />If VES, enter delivery address below: ~No <br />3. Se Ice Type <br />~iCertified Mail ^ Express Maii <br />^ Registeretl ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. ArticleNUmber 7001 1140 00 2 38B3 7111 <br />(trans/er rmm service labc., <br />PS Form 3611, Augus12001 Domestic Return Receipt 102595-0t-M-2509 <br /> <br />rya -rr <br />s^q. <br />~. <br />..~; F~ <br />£ , <br />~.~. ~_ `~.~v;.. <br />mx <br />~~wT'- <br />~ ~ <br /> <br />N <br />~° H <br />< <br />§ ~wqy <br />°- ' fr-I Poste9e $ ~ 1„,j <br />F_x~~=-_. ~ <br />m ~. <br />< <br />e oZ • / d ~ ~ <br />Cerdtt <br />d F <br /> e <br />e B <br />~ <br />~ <br /> <br />`~~~".~.7- <br />~k- <br />~ <br />~ <br />Rehm Racelpt Fee ' s <br />(Endorsement Repaired) Poahnark <br />`'9( Hera <br />, <br />lF~'~, <br />- `.~: <br />~+,_ d <br />O Restricted DelHery Fee ' <br />(Endorsement Requirem - ~ <br />~ ~ <br />; <br /> <br />... - <br />p <br />Total Poste9e 8 Fee, .~ 3 •~ i <br />__ S <br />a .+ <br />•::. .:: ~ <br />~ a <br />,,;:. <br />> <br />p <br />9r PO Bar Na. <br />street. A 9s/~/ IX A,SXAz <br />-------------------------- - -- --- <br /> <br />_ <br />~' f[~`i) .1/_ <br />- ---•---~ --• ------- --- <br />, ~ <br />;~; <br />. .. o <br />M1 Clty, State, Z/Pf 4 .~- <br />~D il4 rYlnr~ ~n Aoso ~ <br />