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C-Igg0-005 <br />cv-zoo 3- 00.5 <br />~, <br />~- <br />~ <br />. <br />~~E~ <br />~ Postage $ <br />O <br />~ <br /> Certifietl Fae <br />fTl Return Receipt Fee <br />~ (Endorsement Required) <br />O Restricted Delivery Fee <br />O (Endorsement Requina) <br />~ Totel Postage fl Feea <br />S <br />r-R <br />~' S t To <br />~e <br />ne <br />~ <br />~ <br />~ <br />0 _ <br />.. <br />. <br />-_ <br />Stree+, Apt. No <br />or PO Bar Na. ~ ~ . M <br />t` Cl+y, sea+e, ZIPt a uA` <br />i <br />- o . _ _ _._ ,....~ .. <br />/I ! ~~ COry , f, tmark . <br />~ ~ ~ <br />/. r~ r ~'ir <br /> <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 />1. Article Adtlressed to: <br />Q 0 13oX lo`l O <br />{-1-oyden , C,o 9t le 3q <br />MPb <br />~~pV~~~~C~~ <br />A. Receivetl by (Please Print Clearly) I B. Date of Delivery <br />C. Sign lure {//(c--~J~~,~ J_v/-~ <br />X ~ ~ 1 v gent <br />tM.d1 ^ Addressee <br />D. Is cl},Qlvery address dfNLvent from item t? ^ Yes <br />If YES, enter tlelivery adtlress below: ^ No <br />3. Service Type <br />RQ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ~ G.O.D. <br />4. Restricted Delivery? (Extra Fee) 1 ^ Yes <br />2 I ct Otbert ~p iVServV IW~ ~~1./J ~ ~~J <br />PS ForrVm` 381 1 ,July 1999 Domestic Return Receipl 102595-00-M-0952 <br />