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Cd 2pO 2 O ~ b <br />s' .;nW,~ <br />~rl~iri . <br />^ Complete items 1, 2, and 3. Also complete a Received by (please pdnr C/earty) B. Da{e r Deli .. yxi <br />item 4 if Restricted Delivery is desired. OV ry ~ ~ ~ <br />^ Print your name and address on the reverse ~^~- ~' <br />so [hat we can return the card to you. a Sign ~, <br />^ Attach this card to the back of the mailpiece, X Agent (.".a?r *~~x-. ` <br />or on the front if space permits. - ~ ~~;~`~ <br />^ Addressee {~ <br />1. Article Addressed to: D. Is delivery,'adtlressd~fferent from item 17 ~ O Yes ~ ~ F , #a.'" "` <br />--~-( If VES, emer delivery address below: ^ No ~ ''~ ~:' <br />~O v~ 1 !~ tS )'f~Q S D~ ~ ~" <br />1 t ~ ~: <br />`~(~- zk.~-h,~~ ~c~-~,~ ~. ~~ <br />w, ~, <br />~U ~~ ~~~ ~ 3. Service Type ~ - ~ ~' <br />~~~ C-~ ~~ ~~-~ ^ Certified Mail ^ Express Mail - <br />s1 ^ Registered ^ Return Receipt for Memnandise ~ ~ ~''~ <br />1 ~ ~l.2?f ~O ~J 6 L U !' ^ Insured Mail ^ C.O.D. I ~~?~` : ~?,.u'~,~a <br />"°~R. <br />4. Restdc[ed Delivery? (Extra Fee) ^ yes ~ - - <br />2. Article Number (Cop /rom service /abeq - y~` a <br />'70 ~fo~ bU l ~~} b I~ C7~ <br />PS Form 3811, July 1999 Domestic Retum Receipt <br />10259500-M~0952 a. <br />b.. a <br />- m_ <br /> <br />3 y... ., Ss~_,. _. <br />