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.® Complete tams 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. a. S at a ~ ( ('' <br />^ Agent <br />V ~ <br />^ Print <br />d <br />dd <br />th X <br />C~~ <br />your name an <br />ress on <br />a <br />e reverse ^ Addre <br />so that we Can return the Cab tc yofL B, Received by (Printed Name) C. Da of Deli <br />^ Attach this card to the back of the rt~ailpiece, <br />or on"the front.if space permits. E <br /> ' <br /> <br />1. Anicle Addressed to: D. Is delivery address ditMrent from item 1 ^ Y <br />s <br /> ii YES, enter delivery address below: ^ No <br />Ce~.~ ~~~'ciQ ~r ~ <br />1 ~3~cC, 5~ icz"-° A~ <br />I~'1.trinu ~ FL 3. ~ ice <br />~' <br />^ IhS. <br />4.' RestnZ <br />2. Article Number f~ Yr <br />(Transfer Irom service labeq 7[/~iC/ ~ ~~iC./ ~~~3 <br />PS Forth 3811, August 2001 Domestic Return Receipt <br />^ Complete items 1, 2, and 3. Also complete A <br />item 4 if Restricted Delivery is desired. X <br />^ Print 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 />l'I'D ~ ~ , ~ r"G°ei~l~ Ta <br />l~ l~~ <br />C. <br />O Agent <br />D. Is delivery atldress d'Aferent from item 11` 21 Ye: <br />if YES, enter delivery address below: ^ No <br />3. Service Type <br />~,Cediiied Mail C7 Express Mail <br />^ Registered ^ Return Peceiptfor Merchandise <br />^ Insured Mail ^ C.O.D, <br />4. Restdctetl Delivery? (Extra Fee) ^ yes <br />2. Article Number ,/~~ /n~ 77 ) l <br />(Tmnslerlrom service label) ~~,(~ ~~.~ `'CICIJ 7=,)1 Or~ O <br />PS Forth 3811, August 2001 Domestc Return Receipt 2ACPRI-03P-0Oe1 <br />•• <br />~ ~ ~ <br />a, • •. e <br />~ O <br />I~u 1'tC1/U~ ILL77J'x7~~I ~' t r~i.l ~*~AJ ~~ <br />~- Postage 5 U I J 1 S Postage 5 <br />~ ? ~ <br />O Certified Fee .J ~ O Cerofletl Fee <br />t+ Postmark r <br />Return Receipt fee Here Return Receipt Fee <br />rTl fEngarsement Required) ~ , S rl (Entlorsement Requred) <br />~ Restncted Delivery Fee ~ Restricted Delivery fee <br />Q IEnaorsemenf Requiretl) IEndorsemem Regwred) <br />O <br />O Total Postage 8 Fees L,`b 'ry', ~.f-,[,~ <br />r <br />_L $en~ <br />O greet ApG(~NO.; or PO Box No. F~ <br />p Ciry. $fate, ZIP.4 F L ~ 331'Jb-- !p ~ O <br />r <br />:.. .. <br />'tail ^ Express Mail <br />~~~ ^ Return Receipt for Merohantlise <br />.Rail ^ C.O.D. <br />:d Delivery? (Extra Fee) ^ Yes <br />7oi~ ~~4~ <br />2ACPRI-03-P-0Oe1 <br />Postmark <br />Here <br />O Total Postage 8 Faes ,'b L-f-, ~(j I <br />r <br />$enr rq <br />a Q `~ I u! 2~ - - - - - ---- <br />OO $treat./Pt._.o.~P~V-x__ovrGl-11__.~~____!.~M_....._...._. <br />p CiN, State. ZIPa4 ~~~~ ~~ <br />r <br />:rf ... <br />