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v i~~ ~ ~~ <br />~~~~r,~-o~ ~ <br />~4.,,~7~,,,- G~~ <br />~~'U-~7 d~0o1 !~"~ <br />^ Complete items 1, 2, and 3. Also complele <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 sled to: <br />'6d1c~ ~ti`~ l9~ <br />p~ ~~ (8s <br />~~,~~,_ ~~~s~ <br />A. Received by (Please Pnnr Clearly) <br /> <br />G Signature <br /> <br /> ^ Adtlressee <br />D. Is delivery adtlress different fiom item 17 ^ Yes <br />If VES, enter delivery adtlress below: ^ No ; <br /> <br />3, Service Type <br />~ertifietl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise , <br />4. ResVicted Delivery? /Extra Fee) ^ Yes <br />2, Article Number (Copy /rom service IabefJ <br />7ooi-asio ooo~ ~~8~ /7 ~~ <br />PS Form 3811, Jufy 1999 Domestic Retum Receipt 102595-00-M-0952 <br />eU <br />r` MG-r31~ Sherm~t, ~iio. 215'.Oenvar, CO 802A3 ! -; <br />[`- Certified Fee ~, /` <br />fil Return Receipt Fee ,' f Sd~r re Q <br />Y (Endorsement Requiredi - ~ ~~~ O~ <br />~ Restricted Delivery Fee i ' <br />~ (Endorsement gaquiretl) ~ 12 <br />o LR <br />p Total Poatags 6 Feea ,$ ~/. '7 '.~ ` d~ 2W2 G <br />~ sent io ~ :: b1S_ 9~-..-- <br />Straep Apt Na.;,(~ y ~ / '~.~d T <br />A orP06ox NO. 9 ~~ ~0-~---..[-~~. ~~t:J f_"..----.- <br />p ----------------- -------------------- -- <br />o ~,h Stare, ZIPa~ 8 a ~5~' <br />r ~• <br />