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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 />t t. Article Addressed to: <br />'T <br />1 Ct <~ll ti~C <br />~'i~h'}~C~l1 ~"~ S~C,LU~~( <br /> <br />A. Received 6y (Please Print Clearly) B. Date of Delive <br /> ,x.16 --o~ <br />C. Sign u <br />~ <br />X <br />~ ^ Agem <br />/..L'(iG~ <br />~ ~+"~Mn ^ Addressee <br />D. Is delivery address different from item 17 ^ Yes <br />If YES, enter delivery address below: ~4-~- <br />3. Service Type <br />GerCRred Mail ^ Express Mail <br />Registered ~9eturn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />l 2. Article P' •^. - °-- ---..__ ,.._ <br />70Q2 241Q QOQ1 Q107 8490 <br />~ ~r`k r ~ m~S r a } "$ , a'~4. f %r '~ ,^'s a PS Form 381 1, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />r <br />I <br />::. <br />3 <br /> <br /> <br />