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RECEIVEEI <br />JAN 1 1 7006 <br />~. ,. <br />^ Complete items 1, 2, and 3. Also complete A. Sig <br />Item 4 M Restricted DelNery is desired. 7~ ^^ Addressee <br />^ Prim your name and address on the reverse <br />so that we can retttm the card to you. g, Received ty (gfnleU Neme1 G Date of DeINe~Y <br />^ Attach this card to the back of the mailpiece, r ;tt / ~y <br />i <br />e <br />perm <br />ts. <br />or on the from ff spac <br />D. Is depvery address different from Item i1 ^ Yes <br />i. Amide Addressed to: a YES, emer depvery address trebw: ~.No <br />~~ / L <br />\4't ~Joves~..a~ C~..n-ao,a <br />~¢.-» 3. <br />'CDcwueed Mao o Mao <br />~~ ~5 Registered ^ Relum Receipt for Merchandhe <br />~c>.~~~ ~ , ~p O OJOL ^ Ireurad Map ^ C.O.D. <br />4. Restricted DdNeR? (F#ra Fee) ^ Yes <br />z. /4adaNamttar 7005 1820 ~~08 1978 6833 <br />(nansrter M1om servke <br />PS Form 3811, February 2004 Oonrestic Retum Receipt tozsasaz-nt-tsao <br /> ~~ <br />m <br />m ~ <br />~ ~. . I <br />m <br />~~; i~~ i <br />~i~~~ <br />~ UiCy~ <br />~ s 0.37 Ikd J O <br />o <br />0 carenea Fee ~p <br />O Rehm Receipt Fee <br />tF.rrmraemem flaqutred) ~ <br />1.75 a. 3 <br />~ n_ ~ <br />~ ~Y Fee ~` 2 <br />' k5~ <br />~' <br />,~ fFStlorsement <br />, v.7 <br />y <br />~ raw roemsa s Foes $ 4.42 12/ S 0301 <br /> <br />~ <br />O Sent To <br /> <br />