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M-zooo-is8 <br />iri Certified Fed: $2.30 <br />-0 Return Receipt Fee: .$1-:75- -. <br />m <br />r <br />& F <br />t <br /> <br />$4:55'r <br />~Q <br /> ie~ae Total Pos <br />age -- <br />~t <br />ees <br /> <br />Rest. ~t <br />? <br />% <br />~ \ \\ <br />O (Enaai ~ !~ <br />1 <br /> <br />~ <br />Total Postage & Feea ,$ 5 ~. <br />1 <br />y <br />~ / <br />~ Sant TO <br />r /~I "/ a <br />tt <br />T <br />` <br />a <br />- <br /> <br /> <br />t= <br />~ -~~ --- -- <br />• <br />Street, Apt N ' or PO Bo~NO. (, J <br />. <br />Y <br />- -~ <br />-- - <br /> <br />, ~ <br />rv <br />i --`r-~-f-- <br />City, State, ZIP ~4 <br /> <br />r r - 1I <br />~ 1 <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 tint if space permits. <br />1. Article Ast~ssed to: <br />Mf. ~ ~sCh-~-~c~W <br />~1~, ~d ~~~cure.Q ~ <br />~) ~ ~VI ~V <br />A. Si ritu'e <br />X ^ Agent <br />n ..~_ <br />D. Is delivery add m 11 ~ Ye: <br />If YES, enter atldre ^ No <br />~ ~9 <br />3. Service Type <br />Certified Mail ress Mail <br />^ Registered ^ Return Receipt for Merchandise , <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />~' 2. Article Num'~er ~ „~In ~ U l ) ~ ~~~ ~~~ <br />(Transfer from service label) <br />PS Form 3811, Febrtiary.2D04 `. ~ ~ -DOnlestic Return.ReceipF 1.0259$.p2M-t560 <br />