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4-J' <br /> <br />^ Complete ttems 1, 2, and 3. Also complete <br />ttem 4 'rf Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />sir 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 permtts. <br />1. icle Adtlre o: <br />~~t2~,t~~11 ~//L ji ~~ <br />~~iGl ~~ ~i~ ~~ <br />,~^ ~~- ~: <br />~(/ oho y- Oo3 ~ <br />A Signature <br />X ^ AgeM <br />^ Addressee <br />Received by (Footed Name) C. Date of Delivery <br />,~i>zf c~~b~~2 ~-as-~ <br />Is delivery address tlilterem from ttem 17 ^ Yes <br />M YES, enter delivery address below: ^ No <br />3. Service Type <br />^ CediFled Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Memhandise <br />^ Insured Mall ^ C.O.D. <br />4. Restrked Deliveryl (EZLa Fee) ^ Yes <br />2. ArtideNUmbeq 7001 1140 0003 5605 6586 ~ <br />(transfer lroms -- _ _ _ - <br />` PS Fonn 3511, August 2001 ' Domestic Retum Receipt rozsasaz-rr-tsao <br />l o ; ~~1G <br />U.S. Posta l Ser vi ce <br />CE RTIFI ED M AIL RECEIPT <br />(Do mesti c Mai l Only ; No Insura nce Coverage Provided) <br />.~ <br />~ ~DMfi~;1313~Sbar CO 8020,3@ <br />imeq,m.215, ~nre~ <br />~ i <br />~ ~ ~ <br />~ <br />Lr7 Poe[e <br />e $ <br />O 9 a - <br />~ Certified Fee ` <br />~ ' <br /> <br />~ Retum Receipt Fee <br />(Endorsement Required) ~ ~ /Sa n ~0~ <br />~ <br /> , y <br />r <br /> <br />O <br />O <br />Restricted Delivery Fee <br />(Endorsement Required) <br /> <br />( <br />r , <br />~, ~_ <br />~~ ~ <br />o ~a~i Poatege & Fee, $ c:~~ c ~ ~ 21 `~ <br />s <br />. <br />r-9 <br />ra Sent To / ~~ G,,. ~ <br />~ , <br /> <br /> <br />~ <br />Street, APt. No.; <br />or PO BOx NO. O , <br />,~{~^~q1, ~ (~ /~--` <br />!r-/OX / <br />/ <br /> <br />..---_-p-(-~-(-o.~-_~_p.~ - L.:Y «_...,,,__.~G_... <br />__....___. <br />fi <br />