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<br />^ Complete Iterrts t. 2. erM 3. Also complete <br />hem 4 M Restricted Delivery is desired. <br />~ Prhtt yarn nenre acrd address on the reverse <br />eo that we can return the card to you. <br />^ Attach ttds tend to the back of the rneilpiece, <br />a on the finnt N space permts. <br />1. Artlde Addressed to <br />l+~gr~~oc..n~ Gor•tiniSskanaPS <br />31S lna~ n. -s }" <br />S ear I ;,~ GD &T7Sl <br />D Agent <br />& tl9taiwd try /Mfad Noma) G mot IlverY <br />o. hasAtayemeasm front nem t?'D Yes <br />n Y6, enmr deln,ay address blow: D No <br />~ txronae ratan D rr Mall <br />O Regiemred O t7e4an Reoelpt for Metarenaae <br />D lrmwed Man D c.o.o. <br />a Ra+afcead ONivsry?~xOa Feat ^Nav <br />~~Inemaam~.~ 7~~'`f Il~no °~I "1o29S7~f~ <br />PS Form 3811, February zoos Ddrrtastic Rotten RacaWt tw++sw <br />^ Complete kerns 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this rard to the back of the mailpiece, <br />or on the front i/ space permits. <br />1. Articb Addressed m: <br />~~a~ ~,~-k/2e~~a~ <br />~ Rtes. ~t~~y <br />3>/.5 /'1air. s'F <br />~'l~ef I,nq G`~ 8U7S'( <br />A slgnamre <br />X ~j ~Q'u~c..~~Z--~a.-o <br />a. Received Dy(Pdn ) c. of rvr <br />J'1u~.-~f~ ~~ ~'~ Tr <br />D. b delvery address dMergnt from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />Certified Mail D Express Mail <br />^ Regbtered ^ Return Receipt for Merchandise <br />D brsrued Mal D c.o.o. <br />4. Restricted DNNeyl (Fxrra Feel ^ Yes <br />2. ArOCIe Number <br />rra~a,fron,.sa~a. 7006 010 0006 9832 8433 <br />PS Form 3811, Augus mss stet mzsaso+w+-zsoe <br />