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G8~ -~i~ <br />Uo~ cv -a~~z -~ ~ O <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 />(~ Article Addressed to: <br />K.!(~Q~ W l r~~ <br />3800 Co ~2d #~ <br />Sri n ~~1 ~C o $10~ <br />service <br />A. R§peived by (Please Pn'nr C/e~Ay) ~ B. Date of <br />C. Sign re C <br />X ~ Agent <br />^ Addre <br />D. Is delivery address tlifferent from item 7? ~ Yes <br />If YES, enter delivery atltlress below: ^ No <br />Z <br />3. Service Type <br />Certified Mail ^ F~cpress Mail <br />^ Registeretl ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ yes <br />PS Form 3811, July 1999 Domestic Retum Receipt <br />702595-00-M.0952 r <br />»~ <br />