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Domestic Return Receipt <br />v ~01.,.. 1 3~ 2a-D~ <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 />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />MAVrticleAddressedto~ n nd s~ <br />('~/~r~,rr~ Mqr~/P L.L, <br />z2 q l~ du s+~f ~J/ ~~ ~i <br />~?d, .r <br />C~/, r~~l ss v~~~~ G'r4 <br />'2 ., 1 r <br />2. Article Number (Copy/romsi 7001 2510 00~ <br />Postage: <br />Certified Fee: <br />IEr Return Receipt ] <br />R. <br />IE` Total Postagme & <br />Total Postage 6 fegF _' y <br />PS Form 3811, July 1999 <br />S <br />r <br />0 <br />,~ <br />S <br />a <br />N <br />O <br />0 <br />O <br />O <br />r7 <br />u1 <br />N <br />O <br />0 <br />r- <br />or Po Box <br />A. Received by (Pleas Prinf C early) Date of Delivery <br />Ndl I~5 ~~S~e ~7~ (')So <br />X Slgn turg e ~ ~ ~ ~ ., rA L <br />f"i.`, <br />i <br />~ ~ <br />('6 <br />t . <br />~ °( <br />~ <br />^ Agent <br />~X <br />~ <br />\ <br />} <br />~~ <br />L <br />iQ <br /> ^ Addressee <br />D. Is tlelivery a~ress'tllfferent from item 1? ^ Yes <br />If YES, enter deliuery:atidress below: ^ No <br />cr/ ~~~ <br />v <br />\ <br />~ ~~ ~ <br />T <br />V~ `. .. <br />3. Service Type_ f, , <br />^ Cedified Mail~-^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ G.O.D. <br />4=Restricted Delivery? (Exf2 Fee) ^ yes <br />48 0799 <br /> <br />M- ~ 987 Dz8 <br />~~a~ d~ ~, <br />e~sfe-~. ~- s~ . <br />102595-00-M-0952 <br />.8~-R~k <br />A <br />' JAN ~` ~ t <br />x <br />.64 13 ~ ~, <br />n /In{iQ ~, n ~ <br />L~ <br />