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"~ Complete items t, 2, and 3. Also complete A sign w <br />item 4 if Restricted Delivery is desired. ~' , Agent <br />^ Print your name and address on the reverse ~ l ^ Addressee <br />so that we can retum the card~to you. eceived ~ (Printed Name) ~ C. Date of Delive <br />^ Attach this card to the back of the mailpiece, '~ ~ _~,~~ <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address diXerentfrom aem 17 ^Yes <br />if YES, enter delivery address below: ~(Jo <br />^~GtGCJ ~GY'IL<<-C~ <br />~O. ~D~ 8~~7107 <br />~s:~~at~' SPnf~ S ~ <br />~04~~' <br />I3. Service Type <br />~Cenified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ yes <br />2. ~ icle Number ) .~~ ~ ~_~ 0~~ 70~~ ~ ~ ^/ <br />ransler lrom service label V / JX <br />PS Form 3811, August 2001 Domestic Retum Receipt zncPRi-0a-PSOet <br />^ Complete items 1, 2, and 3. Also complete A. Si ttye <br />item 4 if Restricted Delivery is desired. ~ ~ ^ Agent <br />^ Print your name and address on the reverse X rl., ^ Addressee <br />so that we can return the card to you. B. eceived by (Printed Name) c. Date of Delivery <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. r\ 1 G 23 ~~ ~ <br />1. Article Addressed to: D. IS delivery address diderentfrom kem t7 ^Yes <br />if YES, enter delivery address below: ^ No <br />C.l~ ~ <br />,222. ~ • (cam ~ee f" <br />Gr-tmd Junc~'l~ ~ <br />g15~ ~ <br />fl-rtr~i , . r7'1S~~xs'TS <br />3. Service Type <br />ertified Mail ^ F~press Mail <br />registered ^ Retum Receipt}or Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (tea Fee) ^Yes <br />2. Article Number II'' _ - <br />(Trans/er lrom service label) ~~ ~ (p ~ ~ ~~ 3 ~~ ~~F ~~~ <br />PS Fonn 3811, August 2001 Domestic Retum Receipt 2ACPRWS-P<Oe1 <br /> <br />~5 ~RC%~ <br />~ ~ C=am - <br />' <br />, <br />n <br />~-~t~ <br />s Postage = C, 37 <br />a <br />D Cenihetl Fee <br />f~ t' ~ Postmark <br />Return Receipt Fee ~t Here <br />rTl (Endorsement Requretl) )r J <br />~ Restrictetl Delivery Fee <br />~ (Endorsement Requiretl) <br />O <br />p Total Postage 8 Feas L <br />r <br />~ Sent To ~. <br />a <br />G Sheaf. GNO.~ rPo .NO. ~ ..........:...................__.-------------- <br />O - - <br />o ~," 5ta Z,P+4 r -" 'Ewn Co 8150 <br />r- ~~Gr ~Ii.Cnc <br />.,, ,,. <br />A <br /> <br />~ ~C~ ~1~ <br />, <br />~ Postage S , 3 <br />a <br />O Certilietl Fee <br />~) <br />t` Postmark <br />Return Receipt Fee Here <br />nl (Endorsement Requiretl) ~ ~ <br />~ Resirictetl Del,very Fee <br />~ <br />(Endorsement Requiretl) <br />O <br />p Total Postage 8 Feas I ~ I-r, ri ,[~ <br />r <br />._p Sent To -~~~> y~.t <br />Street, Ap .; qr PO o. ~ <br />- ~<~-t-~D'~--- L~8-o7~7 -- - <br />~ CR Stale, ZIPK q,,-, qq <br />r r"( 5 ~ ~' ~c~ <br />:,, .,, <br />