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Complete items 1, 2, and 3. Also complete <br />kem 4 If Restrkted Dellvary is desired. <br />Print your name antl adtlress on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mallpiece, <br />or on the front k space permits. <br />Article Addressed to: /~~ <br />~~urrrq ~7vnty [-O//t/rt/SS/DYtE <br />3/o Rsh, ~~ ~~ f~ <br />ReceNed <br />C. <br />D. La delNeiy address tlreerem horn kern 1t O Yes <br />M YES, enter tletivery address Debw: ^ No <br />~ /1 3. Samrke Type <br />w ~ / G ^ Certllled Mall ^ Express MaN <br />Article Number <br />(itansfer from serWee is <br />i Form 3811, February 2004 <br />^ Reglatered ^ Return Receipt for MemhenCise <br />d Insured Mefl ^ C.O.D, <br />4. ResWcted DeINery4 (Extra Fee) ^ Yes <br />7~~6 ^10^ X006 4941 BB31 <br />Domesac Return Receipt <br />10259502-AA-1540 <br />