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<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 ii space permits. <br />1. ,ArdIc'le Addresse//d~~ta: q,9 ~~ ~~ <br />~r -Lf K-C bL'~-!Y^3/~.IN~~^C"ic.<aLv_ <br />CLRU~_ l~Ll2'`t'c' ey- <br />P~ B.x ~w~ <br />~~~r~[.t.~Gcc cYrJ~S.~C"O <br />yosrr~ <br />A. <br />X <br />D. Is delivery address different from <br />RYES, enter delivery adtlress b <br /> <br />3. sere type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt far Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdded Delivery? (6rtre Fee) ^ yes <br />z. AnicleNumber 7pO2 2410 0~~3 2429 X8],5 <br />(Transfer /tom service label) <br />PS Form 3$11, August 2007 Domestic Return Receipt 2ACPRI-03-Z-09&5 <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: <br />Xec ~ ~~i `-r <br />~°iY1''`r~' L) Ce ~ezo Z <br />tt'~yr' .lR~ ~- Slre~-~- <br />A. Signature <br />X A Agent <br />'U, (° rr.!] Addressee <br />B. Received by ( red Name) C. Date o D very <br />~~ <br />D. Is delivery address different firm item 1? ~ es <br />tf VES. enter delivery adtlress below: ^ No <br />3. Service Type <br />l~rtifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ G.O.D. <br />4. Restricted Delivery? (Fxt2 Fee/ ^ Yes <br />z. ArticleNUmber 702 2410 003 2429 1034 <br />(rians/er /rom service IabeQ <br />PS Form 3811, August ?_001 Domestic Return Receipt ie25ss-ot-M-oast <br />