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~~'~ ~z~~~~ ~~ <br />~~ll - ~y2~~~~, ~DO~ ~~~~ <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. ArtirAe Addressed tQ~ ~~~ ~~ <br />~r~ Ga ~~~-dp <br />~d 8 ~~ <br />~~ L3o <br />a <br />X <br />,~,/ ~/-~0 3 -3i ~ <br />3-~-may <br />B. Received by (Pnnted Name) I C. Pate of Delivery . <br />D. Is delivery address diRerent from item 1? ~ Yes <br />M YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mell <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCted Delivery! (Extra Fee) ^ Yes ' <br />2' ~r'ru~saNkei 7002 241 0005 9145 4569 , <br />PS Forth 3811, August 2001 Domestic Retum Receipt tozsssaz-M-tsao <br /> rvice <br />l S <br /> U.S . Post . <br />e <br />a e <br /> T <br /> CE RTIF IED MAIL r~ REC EIP <br /> C overage Provided) <br /> (Do mestic M ail Only; No Ins urance , <br /> . _ ._.. _. .......ware ~r wvw usos.comw <br />Lrl <br />S <br />rl <br />D" <br />~ <br />D Cedifletl Fee <br />~ Ratum Redept Fee <br />lEnCanemeor RegWred) <br />~ Rassicted Delivery Fee <br />rl (Ergoreemenl Requlree) <br /> <br />N _._. ______. ~....e <br />fU <br />O <br />rv <br />