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~'S <br />car ~ <br />_ ~ y <br />~/ ~ TLS ,/ ~~` ~ <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 />^ A1~h this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. eAdtlress~r 'to: <br />r <br />CY,~~~, ~ S~fZfo <br />a <br />B. Received by (Ponied Name) <br />`'~ .z ~-- o ~- <br /> <br />Agem <br />D. Is delivery address different from ttem 1$ ^ Ve: <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Cert~etl Mail ^ 6cpress Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ lnsuretl Mail ^ C.O,D. <br />4. Restricted Deliveryt (ExVa Fee) ^ Yes <br />2. Article Number <br />(Tianster from sen%i~a facsA ~ 7 D ~ 4 13 5 0 0 0 01 16 3 6 6 2 5 <br />- i ._~~ t.,~_ _.__ <br />F@kcuaq 2004 Domestic Return Receipt ~. <br />.. .. ~ :~. <br />.~ <br />~ . > ~ <br />O •• ~ <br />-~ I . <br />..D ~ .~ <br />m <br />O CeNfled Fee ~ ~~ ~vl~ 4~ , <br />~ ReNm Redept Pee '] I' U ~; <br />~ (EndoreameM Repuimd) ~ r 1~ \~ ~ ~~ ~ ~ i <br />O "Restrkted Delivery Fee .~ ~ A <br />r.rt jEMomemeM ReQUired) -~ F <br />ITI l~ b?b t'.\IL <br />'~ TMaI Postage & Fees ,$ ~-f- y . <br />S <br />D fi`t` <br />M1 3d"ee4 iiZTk'_ ______________ _ <br />• ---- <br />oIPO Bar Na f! 11r ~56 X f if ( <br />CrYy, Sfa~ZlAi7-.--~~_______.___ . <br />