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f <br />Q- O- <br />a' t7' <br />ul u'1 <br />r-l ri <br />A a Postage 1 3~ <br />~ O O ~ <br />~ ~ Genifietl Fee ~ ~1 '30 <br />r ~ ••f Postmark <br /> <br />~ <br />~ Return Receipt Fee <br />(Entlorsement Requirecn #, ~ ' <br />Th Here <br />a a <br />O O Restrictetl Delivery Fee <br />~ p p (Entlorsement Requiretll <br /> Tgtal Ppnta9e8Fnas $ q .~Z <br />O O <br />? <br />m S <br />m ecipianr% me (P ease Pnnf Cleatly)(r mpletetl by maser) <br />q~~y <br /> ~~ fX..~O!'r'~Y~.~?1OD2C°J ------ <br />~ o.. o.. Shanf <br />ApG No.: or PO B . No <br />~- >r 4~0 ~< <br />' dye. <br />4 <br />~? <br />O <br />I r O <br />~ ....--- <br />.- <br />.. <br />- <br />Ciry• Stare. ZIP.d ^^ nn ''--^. -.....-'---------------------------------- <br />~ <br />~ <br /> 1~ <br />f ~ w. <br />I :rr rrr <br /> <br />^ Complete items i, 2, and 3. Also complete <br />item 4'rf 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 it space permits. <br />1. Article Addmssed to: <br />AdomS 'C.ocm~l $aarcl o-F <br />Commi~ioner5 <br />950 ~. 4~ ave. <br />~rigf7~o/l, ~0. ~~~ <br />0. Received by (Please Pnnt Clearly) I B. Date of Delivery <br />C. Signature <br />X ^ Agent <br />^ Addre <br />D. Is delivery address different from Nem 17 ^ yes <br />tt yES, enter delivery atldress below ^ No <br />3. Service Type <br />(~ Certifietl Mail ~ Express Mail <br />O Registered $~ Return Receipt For Merchandise <br />O Insured Mail ^ C.O.D. <br />4. Restdctetl Detlvery7 (Fxt2 Fee) ^ yes <br />2. Article Number (Copy /rom serviceWbep <br />7449- 34~- c~of5 -7L01- Ir-~i9 <br />PS Form 3811, July 1999 Domestic Retum Receipt 102595~99-M-1]89 <br />• __" i ~ <br />