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<br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print yobr 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 Addressed to: <br />~~e~ horn C~.Q ~'on~~tw~) <br />el 5'dz~ ~ fISSG G. <br />A. Received by (Please Pnnr Clearly) ~ B. Date of Delivery <br />C. Signature , / <br />X /~ ~-7--~- ^ Agent <br />D. Is tlelivery address different from item t? ^Ves <br />If YES, enter tlelivery adtlress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt tar Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^Ves <br />2. Micle Number (Copy Irom service /abeq <br />70G~ i ~ 7(> C~~co ~~qr~ IJ~vC~. <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />ti <br />.D <br />D <br />O <br />D^ <br />.D <br />O <br />O <br />D <br />0 <br />0 <br />0 <br />r <br />