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-,,-(914$-(a3 ~~ <br />~~~ !~-~~e~- <br />o-ccsA~KS ~~~ <br /> Postage <br />~ <br />~ <br />r-a Certifietl Fee <br />fll <br /> Return Receipt Fee <br />S (Endosemen[ Requiretl) <br />C7 Restricted Delivery Fee <br />O (Endorsement Requiretl) <br />O <br />~ Total Postage & Fees <br />'~ Sent To <br /> M S <br />nA-4 <br />ru • <br />1 <br /> Srn'ep Apt. No.; 1 <br /> or PO Bax No. ' yQ <br />o ---~y---------------- <br />C~ , Sfate, ZIPW <br /> <br />O 4 <br />~•~ <br />M1 <br />I <br />, <br />~ oC. ~~~- <br />o-(-6 3 <br /> <br />,~ Complete Rems 1, 2, and 3. Also complete <br />kem 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 o1 the mailpiece, <br />or on the front it space permits. <br />1.. ANde Addressed to: <br />P-14. Pa-ts~ Ito~~S <br />l~{-e~rt na+~tts CvassRue~.~3; <br />' t 10 /-~ Rae. <br />L(o-csrJ,C~. So~-8 <br />^ AgeM <br />B. Received f1Y Pdn Name) C. Date of Delive~ <br />-4~c rrv l . hl o .~, K ~~ :~ °~ <br />D. s delivery rasa dikerem from item 17 ^ Yes <br />k YES, enter delivery atltlress below: ^No <br />3. SeMCe Type <br />~Cedified Mail O Egress Ma(I <br />^ Registered ^ Return Receipt for MercharMise <br />^ Insured Mail ^ C.O.D. <br />4. Resldcted Delivery't (Extra Fee) ^ Yes <br />2 ANda Number <br />(Tiansrer Irom servlcelaeeq Z 001 ~L~1 O 00~(' ~ 6~ ~ ~ g <br />PS Fonn 3811, August 2001 Domestic Return Remipt ucPRws-zaeas <br />