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Qi~ <br />GI,~,~l b~~ <br />c u zo«ob~~ <br />,~a ~ <br />^ Complete items 1, 2, and 3. Also complete A. <br />Rem 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. g <br />^ Attach this card to the back of the mailpiece, `~ <br />or on the front if space permits. <br />1. Article Addressed to: <br />5~~~ ~~' Y <br />~' ~/. BDX ~~~ o <br />l~a~e~~ ~~s~ <br />C. <br />Agent <br />D.~IS deliJ~i address difieremtrom hem t? LJ YeE <br />If YES, enter tlelNery address below: ^ No <br />3. Se Ice Type <br />~Certifled Mall ^ Express Mall <br />~'~'dddd Registered ^Rehrm Recelpt for MercharMlse <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Fxoa Fee) ^ Yes <br />2. Rrans(er from seMce label) ~~~? K ~~ ~~s ~Z /' ~?8~ ~ . <br />PS Forth 3811, February 2004 ~` Domestic Retum Receipt toz595-o2-M-tsa <br />