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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restdcted Delivery is desired. X <br />^ Pdnt your name and address on the reverse <br />so that we can return the card to you. B <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />J `r"' '~ <br />el d ~~ ~ G~a~-tcP <br />3sag Co` ~ ~ ~~ <br />~vnyrno>1 +~ co ~~`P <br />2. Article Number <br />Agent <br />by Pr/n d Name) C. Date of <br />D. Is delivery address dlUerent hom'nem 19 1~ Yes <br />If YES, enter delivery address below: ~] No <br />3. rvice Type <br />Certified Mail ^ Express Mail <br />^ Registered ~(I Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Aestdcted DellveryT (Extra Fee) ^ Yes <br />PS Forth 3811, February 2004 DomesUC Retum Receipt fazsasoz-M-tsao <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt 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 Addressed to: <br />2C~ bQli-~- S t'P~ (', 5-1- <br />A Signature <br />B. Received by~( Pdrrled Nam4y I C. <br />D. Is delivery atltlress difterem Fmm item 1? ~ Yes <br />If YES, ent~cdefl~y_edijress below: ^ No <br />~'~- <br />3. <br />s Mail <br />Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Resbicted Delivery? (Extra Fee) ^ Yes <br />2. Article Number ~J~Mn ~~ / ~/~~/ ,~,\ <br />(Transfer hom seMce fabe4 / [/rA~ ~ 8 ZC~ ~r~ ~ SY X t(J ~1J C~ <br />PS Forth 3811, February 2004 Domestic Return Receipt toussoz-M-tsao <br />I_ - -- - - <br />