2003-02-10_REVISION - M1977342

• Permit No: M1977342
• IBM Index Class Name: Revision
• Doc Date: 2/10/2003
• Doc Name: Evidence of Notification
• From: Henderson
• To: DMG
• Type & Sequence: AM4
• Media Type: D
• Archive: No

. .
^ Complete items 1, 2, and 3. Also wmplete A S~ tore - ~ .
item 4 if Restricted Delivery is desired. X
^ Print your name and address on the reverse ^ Add
so that we can return the card t0 you. B. rued by (Pon ) C. D of live
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^ Attach this card to the back of the mailpiece, '
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or on the front it space permits.

. 1. Artic
le Addressed to: D. 5 delivery address d' item 7 es '
If YES, enter deliv '~ '
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O'Ge~rtified Mail
^ Registered ^ eceipt for Merchandise
- ^ Ir~ured Mail ^ C.O.D.
4. Restricted Delivery? (Fxtm Fee) ^ Yes
2. Article Number
(Trans/erfrom servicelabe~ 7001 1940 0005 5669 2562
PS Forth 3811, August 2001 Domestic Return eceipt tozsss-ot-m oset
^ Complete items 1, 2, and 3. Also complete ~ A. ~ nature {~
item 4'rf Restricted Delivery is desired. tf,, ent
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^ Print your name and address on the reverse -
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QA.A_
dressee
so that we can return the card to you. g. Received by
(Footed Name) C. Dale Delivery '
^ Attach this card to the back of the mailpiece,
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or on the front
rf space permits.
D. Is del' ~ '1fereM from item 1? ^ Yes
1. Article Adtlressed to: a--
If ,Q" very dress below: ^ No
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3. S Type
~C~. ie ^ Express Mail
^ Registered ^ Re[um Receipt for Merchandise
^ Insured Mail ^ C,O.D.
4. Aestdcted Delivery? fFxtrd Fee) Q Yes
2. ArtiaeNumber ~ ~ -. ~.'
7001. 1940
~ ODDS 5669 .2593 ~ '
,
(Tmns/er from service label)
~ - -
PS Forth 3$11, August 2001 ~~ ~ ~ Domestic Return Receipt toasssot-N-0a6f
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