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r <br />m <br /> <br /> <br />m <br /> <br />m <br />o- <br />Postage <br />E q <br />Q. I <br />. <br /> <br />r` Cenltied Fee q ~ ~ <br />~l ~t•1., <br /> <br />. <br />rk <br />s <br />O Paturn Receipt Fee <br />E <br />' ~~ <br />u ~ ere C~ <br />O ( <br />nOOrsemant Repaired) I, <br />~ S n i ~~ <br />p Restricted Delivery Fee J 2i4 ,~ <br /> (EfMOrsemant Required) U3 ^~ <br />l <br />o U <br />WS <br /> <br />O <br />Tobl Poatege 8 Fee. <br />$ `' <br />l .5 , <br />~-•~- <br />S f.. . t r <br />m Name (Please Prinr Clearly! pc be completed by mailer) ' "- <br />~ <br />H d-.d <br />er' _ _ <br />-- - <br />Street L Nc <br />or PO Box N <br />N __ k. <br />_a.. ...___V.4 <br />- S ~{1.5 <br /> <br />- --- <br />~ ; <br />o <br />------ . <br />f~ Cr <br />b <br />, State, ZIP~< <br /> Y <br />, <br />*~1 ~4 N¢r v_a N. H. Cs ~ ~ o <br />^ Complete items 1, 2, and 3. Also complete <br />item A 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 mailplece <br />or on the front if space permits. <br />1. Article Atldressed to: ~~ 1/ <br />All,,,~,,.,~N< ,NM <br />~ 110 <br />A. Si nature <br />X Q Ag, <br />e. Received (Printed Name) C~Dat of/J, <br />(/~ ~/ L <br />D. Is delivery address tliftereM from ttem t? ^ Ye: <br />If YES, enter delivery address below: ^ No <br />y}' 3. Service Type <br />I~Gertified Mail ^ Express Mail <br />~~• ^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. ResMCted Delivery? (Extra Fee) ^ Yes <br />2. Article Number ~e99 ~!F°O (?ccy~ ~53~ S$S'~- _ <br />(Tmnsler /rom service label) <br />PS Fonn 381 1, August 2007 ~ ~ Domestic Return Receipt ~ ~ - ~ ~ - ~ 102555-02-M~toa <br />