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~~a <br />CV- Z b0 3- 00'7 <br />i' ~ Ked ~x n0.a -~t~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 it 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 Adtlressed to: <br />S e ~~ eca Coa-~ G~~.~~>>~t~ <br />Soh Sl~evl("n~ <br />- j~~ 3~~ (070 <br />- ~ din CD ~~3~ <br />2. Article Number (Copy irom service label) _ <br />A. Received by (Please %int Clearly) ~ e. Date of Delivery <br />C. Signajpr~I ^ <br />~~II L~'(~..~ ^ Agent <br />X it -rl ea.u.e«m <br />D. Is delivery address~'$Ifferent from item 17 ~ Yes <br />If YES, enter delivery atltlress below: ^ No <br />3. Service Type <br />^ Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />PS Form .3811, July 1999 Domestic Retum Receipt <br />102595-00-M-0952 <br /> <br /> <br /> •. ~ <br /> <br />m <br />~ _ _ <br />,, <br />n~~14 ~ <br />o Postage a ~ 7 ~_^ <br />u7 canirea Fee Z 3 O ~ ~ ~ e <br />\ - -, <br />T Realm Receipt Fee / '~ S ~ rr- <br />(~~ / l~~mnark ~ ' ~ <br />- <br />~ <br />~ <br />p (Endorsement Required) {{~~e <br />Ya ~ <br />~ <br />~ <br />JV <br />~ Restricted DelNery Fee <br />(Endorsement Required) r ~ ~ <br />103 <br />O Total Postage & Fees ~ 4 ~ <br />! \~ S~ <br />tag ~ i <br />s <br />~ <br />~ Sent To ~ <br /> <br />Street, Apf. rJO ~ ~ <br />~ _ <br />- .... _ <br />- ~ r f-- --- <br />p or PO Box No.~ v ~ ^ ~ / /,. <br />Vl 'J /l <br />/ V <br />p <br />r„ ------------------- <br />city, state, Z1P~ a -.------ <br />der -----` --------------------- <br />/(~ <br /> ... ., <br />