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C- Iq gz-o57 ~~ <br />CV-ZO(~3-01 ~ <br />(1c3~~ee off' Pro~se~ <br /> <br /> ~ <br /> .. <br /> <br />~ <br />f~ m. J. enver, <br />((~~ {{~~ ll <br />~ ;I ~ V ~1 <br />~ 3 <br /> <br />/ <br />to u <br />tr'1 <br />0 Pastege $ <br />.'_ _ <br />. <br />~ <br />~!7 Cenified Fee <br />~5~ <br />fTl <br />0 5 <br />ftetum Receipt Fee ~ / <br />C (~ <br />(Endorsement Required) ~ ~r <br />y <br /> <br />0 <br />O D <br />ResMc[ed Delivery Fea CU <br />(Endowament Required) <br />/'~ <br />~ <br />~~ , <br />A <br />r <br />p ~ <br />~ <br />3 <br />Total Pesta088Fees ~ u "/ ~ <br />~ ~ <br />~ <br />~ <br />~ ^. <br />Sent io t \`~ ~; ~ <br />, <br />r ~ <br /> <br />~ <br />p Street, APt.Na <br />~ O <br />or PO Bax Ne. <br />_-. "' --------- <br />~ <br />- - ' <br />---- -- - __..- <br />~ _.l.-1C :-.-r V <br />-- <br />"'--" <br />t <br />Ctry, State, ZIP+ 4 , 1 /} \I~-I p Y\ C ~ ~ I ~ q <br />, <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. Article Addressed to: <br />~ nc~ear_ Ccc~ ~ dim pin y <br />~~~~`~P-~ ~~Yl~~lllrlc~ <br />P' 0 ~X 1~~70 <br />1-~(!L~KL~ ~~ , C~ ei ~o ~~i <br />A. Received by (Please Pnnt Cleady) B. Date of De^^liv~~ery11 <br />~'t.l~ <br />~Z <br />X Signature <br />/~~,bQ_,~~r4~ ^ AgeM <br />^ Atldressee <br />D. IS delivery atldress tlifferent from item 17 ^ Yes <br />If YES, enter delivery adtlrass below: ^ Nrr <br />3. Service Type <br />Certified Mail ^ Express Mal <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted DeliveNM (F.Mra Fee) ^ Yes <br />2. Article Number(Copy/rom service label) ~ 7~~1 114 0003 565 5756 <br />PS Form 3811, July 1999 Domestic Relum Receipt 102595-00-M-0952 <br />