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^ Complete items 1, 2, and 3. Also complete <br />item 4 it 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 it space permits. <br />1. Article Addressed to: <br />FrPmOrc~ CoUK~j <br />C~ rnrn r ~Sclla'~ <br />615 /1'~~a n ~vP. <br />Cc~~n Ct'-!y Co <br />8~~ <br />A. Si net rei] <br />/ ^ Agent <br />' <br />~ <br />¢_[ <br />~ <br />X / ^ Addressee <br />B. Received by (Printed Name C. le.gf Delivery <br /> <br />D. Is delivery address ditferem fmm item 17 ~ es <br />If VES. enter delivery atldress below: ^ No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. gestrlcted Delivery? (Extra Fee) ^ Vas <br />2. Article Number 7002 0860 ooa7 5621 9832 <br />(rians/er from senice label <br />PS Form 3811, August 2001 Domestic Retum Receipt 102595-01-M-2509 <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 Addressed to: <br />~oard ~~ cSc.t`y~2N'~SorS <br />rr'emOw'~ CpUrr6y.~ji~ <br />GO t?~G('/G~i o}l~iJ ~r"~t~ <br />2`ES ~OZ~+%Gh <br />Gd~t~'r a Vl L c-Fy EO g l ~l2 <br />A. Signature <br />X p, _ Q _ ' 1 ^ Agent <br />~V..:~ L-Unh.J~U.~J~ ^ Addressee <br />R. Received by (Printed Name) C.yate of Delivery <br />/-~~-03 <br />D. Is delivery address different tram item 17 ^ Vas <br />It YES, enter delivery address below: ^ No <br />3. Service Type <br />Certified Mal O Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Meil ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Ves <br />2. Article Number 7001 194 0004 9008 4355 <br />(fiansfer Irorri service labeq __ _ <br />PS FOmI 3811, August 2001 ~ Domestic Raurn Receipt ~ ~ ~ w259s-o1-MaSOs <br />