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~- ~- <br />~- ~- <br /> ~, <br />---- ~ a <br />_ r~ r'~ Postage S <br />- <br />~~~ 0 0 <br />~ ~ Certified Fee <br />~~ M1 M1 <br /> flelum Receipt Fee <br />~ ~ (Endorsement Required) <br />a s <br />O O Restigted Delivery Fee <br />~~ ~ p (Endorsement Required) <br />~ ~ <br />O Total Postage 8 Fees <br />O <br />S ~ ecrprenPS ,N~~^e (P ease Prin <br />m m ~Q~j <br />~, Q. Sheet Apt. Na., or PO B~NO. <br />~- ~- .4_~0 ~, q <br />r_~I p O CiiY State. ZIP4d --~~~ ------ <br />r` r_ r' YTt CD <br />:rr rrr <br />^ Complete Items 1, 2, and 3. Also complete <br />item 4 II 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 II space permits. <br />1. Adicle Addressed lo: <br />Ad4msC'ocm~/ $Qarr! of <br />1 »mi~iDflet{i <br />950 ~. 4~ Ave. <br /> <br />,37 tJDERS~ <br /> <br />' ~ <br />~ ~~ <br />~, . <br />~ Postmark r <br />_ <br />7h . <br />Pere <br />cr <br /> 31 zooz <br /> <br /> <br />A Received by (Please Print ClearryJ ~ 8. Dale of Delivery <br />C. Signature <br />X ^ Agent <br />^ Addressee <br />D. Ls delivery address diNerenl Irom aem 14 ^Ves <br />U YES, enter delivery address below: ^ No <br />3. Service Type <br />Cedified Mail d Express Mail <br />^ Registered ~ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcled Delivery? (Extra Feel ^Ves <br />2. Anicle Number (Copy hom service Wbe4 <br />7dg4- 3~FGb- ao15 -7101- I~i4 <br />PS Form 3811, July 1999 Domestic Retum Recript 102595~99~M~1]99 <br />a ~ <br />