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,`~~ rq~~ - zz3r/ <br />SL ~..~ <br />^ 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 Addressed to: //l/ <br />G/a~ne f~Dtalzsf <br />Va~Cc~rx c. <br />/? D_ Bo x S`I/ <br />Ga~ar-~ G ~ ~ l oSZ <br />A. Received by (Please Pnnt Clearly) B. Date of Delivery <br />X signatu'i%" ~~~ <br />^ Agent <br />^ Addre <br />D. Is delivery address tlifferent fro es <br />rf VES, enter delivery address below: ^ No <br />3. S~~erv.i~/ce Type <br />L.9'Certifled Mail ^ Express Mail <br />^ Registered ^ Retum Receipt (or Merohantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Ezfra Fee) ^ Yes <br />2. Article Number (Copy/romservicelat 702 2410 0005 9145 5634 '~GJ`Y'" <br />{ t <br />PS Form 3811, July 7999 Domestic Return Receipt 10259500-M-0952 <br />~- <br />~ <br />m <br />.~ i 1 <br /> <br /> <br />~~ ~3~~~ <br />°' t s <br />"t <br />0 cormtod Fee <br />~ <br />~ ReWm Redept Fee <br /> (OMOncernent Required) / <br />O Re9trlCted DelNary Fee <br />rR (EndomernentReaulredl <br />7 <br />l1.1 lbtel Postage 8 Fee9 .~ r <br />ti <br />o Me <br /> <br />_ vosenaM <br />Sd~~~• <br />G O\ <br />JULY ~;~ ~ <br />23 I <br />~~ <br />--- <br />o Qfo~~ <br />