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<br />~ . <br />r- <br />~, <br />m <br />r,t ---- <br />PPSlape .. ~ <br />~'~( <br /> <br />v- --- <br />- <br />f~ CeniL¢d Pe.C I .~ .'~ O <br />S velum HeceiM Pee < <br />~ ICn<1pr5enrCnl Req,nRJi ~,~J <br /> <br />~ R¢smdea DeIN¢ry Fee <br /> ILndorsemcm Requi,edl <br />C] <br />4 <br />5 <br />o mtai Pgelage s Feee . <br />$ <br />S <br />T se Pnnl Clea <br />Name <br />(Plea ~ttv»PI¢1 <br />dVl llo l <br /> )) <br />l <br />N.f...R1)..__ <br />~~Y C <br />____14.L2.`. <br />~ . <br />. <br />No. <br />Slreel, Apt No.: or PO Box <br />p 611 w.rlo~ ` <br />} <br />~ <br /> _. <br />r':..°. <br />J. <br />f~ GI , Slaie, ZIP.4 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />a Attach this card to the back of the mailpiec _, <br />or on the front if space permits. ~Y1~-~ <br />1. Article Addressed to~ <br />~-4y <br />Ted N~.,.,; , c <br />(r 11 kna'~-ur S~r-ta~ B <br />•~ ~_~.~ <br />Pocv~li,. ; ~ <br />~~.~•' HerC °~ •~ <br />_. ~ ~. <br />_~HI ~ NLCS IS. ..... . _ _...... <br />F~vrG <br />A. Signature ~// ' <br /> <br />X -~ YJ Agent <br /> Addressee <br />R,_Received by (Pooled Name) Q~=,qf Del <br /> <br />. G - i <br />~ ., <br />tleGvery ress different from item 17 <br />• ~ s ^ Yes <br />~ <br />\ S, enter delivery address below: ~No <br />`~ <br /> ru ~ ~~ <br />P, -.a o4 7 3. Se a Type <br />~~.~.•rr. r+ <br />n ~(~ (, ((~ ~ Certilied Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchantlise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ yes <br />2. Adicle Number .. :.~. ~_9 34.0 C~eotl <br />~r~`i3~ 5~95;;.'i , <br />(IFans/er lrorri service label) ~ ' <br />PS Form 3811, August 2001 Domestic Return Receipt 102565-o2~M~1oF <br />