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-Pe~mii #: l' - o Confidental?: <br />Class: Type-Seq.:S=axoy ~-(3 <br />From: To: <br />Doc. Name: <br />Doc. Date (if no date stamp): G-/-o4~ __ _ <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 />A. <br />^ Agent <br />1. Articl~d"" (~ <br />~a ~~ <br />c~ ~o~il~ <br />B. A eived by (Printed Name) I C. Dig ql Delivery , <br />~ozi FiR NL `A'//~~i/~-- <br />D. Is delivery address different firm item t? Yes <br />If VES, enter delivery address below: ^ No ; <br />3. Service Type <br />~Certitied Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise , <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes , <br />' 2. Article Number /Jy <br />' (i2nsler lrom service label) 7cxb~-a~0 ~~ 9i[[s' 7d/~ <br />PS Form 3811, August 2001 Domestic Return Receipt tozsss-oz-M-tsao <br /> U.S . Post al Ser vice.M <br /> CE RTIF IED MAIL <br />R ECEIPT <br /> ' ,M <br />- (Oom e <br />stic M ai! Only; No Insuran ce Coverage Provided) <br /> <br />DI~-t~t3 ~e <br />~ <br /> <br />°- s <br />U'I cemned tree <br />o < <br /> <br />p Rewm RaNept Fee <br />(F.ntlo~sament RegWred) <br />~ Restrlaed oelrven <br />~ <br />l <br />~ (Fme ReQu > <br /> <br />"' ,btal a F~ g <br />N <br />~ ry~ <br />I C w,~ <br />. <br />~ -~:-a <br />-- ~ , <br />Sd&~ <br />JUN °~? <br />