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C--Ir~~l C~Z3 <br />M1 <br />~. <br />.~ <br />m <br />o ~.~ .,e,~,w,,,o. <br />O Retum ReclePt Fee <br /> (Endorsamem ReQulretl) <br />O W <br />R <br />a <br />~ <br /> ran <br />rH Reg <br />(E <br />n <br />do <br />m <br />~ Tote1 Poetess & Faes <br />S <br />O f o ~,~ fl [~i <br />O <br /> <br />^ Complete Rems 1, 2, and 3. Also complete <br />item 4 ii 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. Artlcle Addressed to: jr' <br />~[ ~~r ~.M~1 C ZIAIK~ <br />~.r4HS e~ Ca <br />g'~3~/ <br />3. Article Number <br />(Tiansier /romservice Ia4eQ <br />7404 <br />l -~ I~ <br />A. Si ature <br />X '- ^ Agent ' <br />^ Adtlressee ` <br />B. ~tece ed y (Printed Name) C. Date of Delly ' <br />D. Is delivery address different from itefn 17 ^ Yes <br />If YES, enter delivery atldress below: ^ No <br />3. S~~ervi~~Type <br />IKCertified'Mail ^ Express Mail <br />^ Registered ,iO ReNrn Fecetpt for Merchandise <br />^ Insured Mail LI C.O.D. <br />4. ResldMed b Jivery7 (Extra Fee) ^ y~ <br />r35~ 0001 1636 8975 ` <br />7025 '•92-Ma Saa <br />t <br /> <br />-, ... boniS~tip 612f[~r4,~~,.-,.' _.:.. <br />