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;^~ i ,, <br />l_ l''~ <br /> <br /> <br />~~~~~~ <br />~~~ <br />0 <br />o Postage: <br />° <br />o ~ d <br />Certified Fee: <br />• <br />° eat <br />(Enaoi Return Receipt Fee;f <br />° <br />° Toza Total Postage & Fees: <br />r <br />y <br />~ <br />ev~ViQ1le.„a .e. ~ ern~~~.neuuy/1w <br />l:l v ~~ <br />- <br /> <br /> <br />° <br />° --1.--Y <br />.--- <br />- <br />Street Ap . No.; Po Box No. <br />a-> to c~s~-- ` <br />----- -- --- <br /> <br />~ ~f(. Sizte, ZIPW SS <br />l 'Y)n ~~ ~ 0 P1 r IIfT/ <br /> <br />OCT~ <br />^ Complete items 1, 2, and 3. Also complete A. Received by (Pie se Pnnt Clearly) B. ID~te f Del ry <br />item 4 if Restricted Delivery is desired. ~ ~ ~~ a ~ corner UU lr/~ <br />^ Print your name and address on the reverse <br />so that we can return the card to you. ~ ignatyA ` <br />^ Attach this car to the back of the mailpiece, ~ 1 Agent <br />or on the front i ~; space permits. ~-,, Y-\ Cu.+. ' ,e,ddressee <br />1. Article Address o: ~ s tle' ~ lent from Rem 17 es <br />~- If ` Q er de t A ress below: O No <br />cJ IY1n S~, / 4 <br />`M I N le ~C• ~ OCS 21200 <br />a~~~sC~P~~`~~~)oi <br />y o1 <br />/' n ^ N'~ }~ ~ ~', U }~ ( ~ 3 ^ Certi express Mail <br />~K(C~ ^ Registeretl ~ O Return Receipt for Merchantlise <br />6 I ~N ^ Insured Mail ^ C.O.D. <br />O l~ 4. Restrictetl Delivery? (Extra Feel ^ Yes <br />2. Article Num6ar`(Copy from service label) <br />PS Form 3811, July 1999 Domestic Return Receipt <br />102595-00-M-0952 <br />