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<br />~f/-2~o.s- ~2~ <br />/o-ir- o s <br />G~ ~~/~~- <br />~~Y-~/~°~i ~~ . <br />~~~~ ~~~~ <br />~~ ~~Iq ~G!/Uv/~-GP ~. <br />~rl ~~7~ <br />^ Complete items 1, 2, and 3. Also complete A <br />item 4 if Restricted Delivery is desired. X <br />^ Pi3r~ your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach thi~ard to the back of tha mailpiece, <br />or oP tlie'~fronf if space permits. <br />7. Artict~Addressetl to: <br />~tpvkf PtJv ~j-~Vt-e~'G I <br />~i~/~~~~j l~r <br />~d/~G7 <br />z. <br />^ Agent <br />C. Date of DeTuvety <br />Is delivery address differenftroni kem 19 CI Yep <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certifietl Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchantllse <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Deliver)? (Extra Feel p yes <br />7004 1350 3001 1636 7404 ~ <br />~' t~i7au:r7~7~llruwlll~a7M71: <br />(Domestic Mail Only; No Insurance Covera~ <br />o'ostage: $.37 <br />°o ;ertifed Fee: $2.30 j ~` <br />Sd!are <br />o'etum Receipt Fee: 1.75 / ~ <br />~, <br />s ocr <br />~ otal Postage & Fees: $4.421 ` J 7 <br />~ ~ , <br />p rro r• r ~ /, <br />o ~~/ ~ , i' <br /> <br />