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^ Complete items 1, 2„ and 3. Also complete <br />Rem 4 R 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 [o: <br />~r ~~ I.~t'~-v~ , S <br />~~ ~-k~x ~ loC~ <br />5 h~ t ~a~~ , -Nlor~ia ~ <br />?4~ <br />0. Signature <br />// L7 Agent <br />X 1U4~ A ' ~! ' 2~' ~~ZE4% dn:ssee <br />/Jleceiyed by (Pn ,~ed~ J~ C. Date of Delivery <br />C(Y_'l'1_xh1`Ci ,!/Jle r~S S"T u7 <br />D. Is delivery addnss different from Rem 17 ^ Yes <br />If YES, emer delivery address below: ~-No <br />3. Service Type <br />^ Certified Mail ^ Express Mall <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Derrvery7 IExira Feel ^ Ves <br />2. ArticleNUmber 7U06 2150 ~~05 81~~ 5976 <br />(transfer lrom service,d...~~ <br />PS Form 3811, February 2004 Domestic Return Receipt toz5ssm+~f-tuo <br /> <br /> <br /> <br />%' T .. <br /> 'a <br /> <br />~ "a <br /> <br />