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<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 />1. Article Addressed to: <br />t~ 3u, / ~rJ SS ~ <br />!~u n~r~JD, CG' <br />8/ 3v <br />A. <br />X <br />^ Agent <br />B,.dteceivec(.by (Prlr~tgd Name) J C. Date of Delivery <br />i/ // <br />!r~ l~`u ~ <br />D, ~~ d~livsry address different from Item 17 ^ Ves <br />;,g?If~YES, ehter'dellyery adtlress below: ^ No <br />"~OV 1 .. ,S <br /> <br />l~~rlll/6rTMa11 ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise , <br />^ Insured Mail ^ C.O.D. <br />a. Restdcted Denvery7 (Extra Peel ^ Yes <br />2. Article Number 7003 101 ona4 2436 16.1.9_ _ <br />(fmnsfer from service label) .. . _.. _ ___ _ _ _ _.._ _,. __ . <br />I <br />PS Form 3811, August 2001 Dumestic Return Receipt 102595-a2-M-1540 ~ <br />^ Complete hems 1, 2, and 3. Also complete A~9~~uy~~ <br />item 4 if Restricted Delivery is desired. '~/y <br />X <br />~ ^ Agent <br />^ Print your name and address on the reverse ~ ~ ~ Addressee <br />so that we can return the Card to you. <br />^ Attach this cans to the back of the mailpiece, B. ReceNed by /Printed Neme) C. Dale of DelNery <br />or on the front if space permits: <br /> <br />1. Article Addressed to: D. LS delNay addraea dfffererrt from Item l7 <br />If YE8~irder delivery-adtlress below: ^Yes <br />^ No <br />t' ~~]] n frt. <br /> <br />Pn 8 ~ <br />9 ~/~ ti <br />U7 vy ,~~C ~~ <br /> <br />/ ,/ /~/ <br />~j'9''J~"/t'~C/r C-~ I3! ~~-]. 3. Se ce . , , e C~J <br />Express Meg <br />^ Relum Receipt for Merchandise <br />4. Restricted l7ellvery'1 /Ea'fra Fee) ^ Yes <br />2. ANCIeNumber 7003 1010 X004 2435 9692 <br />(Aansler from servPoe label) I <br />PS Form 3811, August 2007 Domestic Return Receipt tbz5ssaz-M-tSwl <br />