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~-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 />n ~ ~eCt,K- ~avic~ LTA <br />,3Z ~'S ~CK i 4 <br />~rtvn..I~Ct~- ~ f'~~5 ~ X04 <br />, ^ <br />X ' ^ +, ~ <br />B. FY ceived by (Footed Name) C. Date <br />D. Is tleliveryadtlress diMerentfmm item 17 ^ Yes <br />if YES, enter delivery address below: ^ No <br />3. Service Type <br />[Certified Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merohantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number - /'~ '/ <br />(Yrons/er from service label) 7CQ.Q ~~~L' 013 7Cj~T- ~~ !~ <br />PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-IXLP-4081 <br />^ 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 if space permits. <br />A. <br />^ Agent <br />1. Article Addressed to <br />B. Rggceived ¢y I P Name) 6-D@te of Delivery <br />L~Yf ~22L3, E MF\ <br />D. Is delivery address differrent from item 1 Z <br />if YES, enter delivery eddresspelow: ^ <br />""'t, ~ 4 ,., 3 <br />/~~^'-`-~ ~ ~~ 1 ~~ ~~ 3. Service Type <br />]/~~~ n!i ,,pp".~, ~l Certified Mail ^ Express Mail <br />7~CA t.t{~ c-y) ~Q Registered ^ Return Receipt for Memhandise <br />II d , /~~ ^ Insured Mail ^ C.O.D. <br />~7 ~"~~YA-~ 4. Restdctetl Delivery? (EMra Fee) ^ Yes <br />2. Article Number ~~77 - ~7 '/~ -f/ <br />(Trans/er Irom service label) 7a~ ~ ~7~ (J~ /y~ T ~ / rC~ <br />PS Fortn 3811, August 2001 Domestic Return Receipt 2ACPRl-03-P-40at <br />m <br />-~7-1C3 Av t <br />S Pgstage $ <br />rl <br />~ Certihetl fee <br />r Postmark <br />1'ri Return Receipt Fee Here <br />(Entlorsement Requiretl) <br />O r <br />p - Resirictetl Delivery Fee <br />p IEntlorsement Requiretl) <br />O Total Postage 8 Foes ,$ r"t'. ~'~~ <br />r <br />-r7 Sent jv-_~t', ~J T~ VICV{ ~-7~ <br />~ ....-.J-..{...._-.-~~.. ....-...~~f.~_L_~...... Cc _- _......--_. I J--._.....-_. <br />O Street. Ap1.G~P B~N~...`...!.- <br />----- - ---- -- 1 <br />p City, stare, ZIPW --- f g ~------- <br />t` f'L Y J ~ ~ Uv <br />:.. <br />r- <br />? Postage s, p, 3 <br />rl <br />0 Cemhetl Fee <br />r~ O Postmark <br />Return Receipt Fee ~ t ~ C Mere <br />fTl (Entlorsement Requiretl) ._1 <br />O <br />p Restric[etl Delivery Fee <br />~ IEntlorsement Requiretl) CC <br />~ Total Postage B Fees ,p '/"~'. <br />r <br />..D ' Senti rfl ~ 'C~~ l°l~ ~~ST......._ <br />Street Rpt. No.; or Po Box~Nq. ~, , <br />p crty s r zfPM ~ ^ ~ D~ ' Q~~ <br />r ~ oU ~) U <br />:.. ,.. <br />