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~e 8 <br />CerWetl Fee <br />Realm ReGept Pee <br />(F1MOresmeot Required) <br />(E mt ~~Fee <br />Total Postage 8 F¢es ,$ <br />99 <br />l / <br />~• <br />e~.. <br />:ms 1, 2, and 3. Also complete <br />;tdcted Delivery is desired. <br />ame antl address on the reverse <br />l ~ ~ an return the card to you. <br />;ard to the back of the mailpiece, <br />mt if space permits. <br />sad to: <br />Postrnark '~ d e=[Y~ C-~TH~Rl~~7r L-~ <br />Here <br />'<act7,q y , Su~~rC 3~~v <br />3. Service Type <br />Q ~ (~ ~(`/p7D j2 1~.CertiFled Mail ^ Express Mail <br />^~ ~ ^ Regtslered ^ Retum Receipt for MercharWise <br />rer <br />PS Forth 3811, August 2001 <br />m <br />uT <br />~~ <br /> ~ <br />~ <br /> (@ <br />o <br /> <br /> Postage S <br />s <br />o Certlgea Fee <br />0 <br />O Relm ReGept Fee <br /> (ErNorsemem Required) <br />~ <br />~ Restdcred DelNery Fee <br /> <br />~rl (EiMOrsement Required) <br />0 <br />Tata1 Postage a Fees <br />m <br />O m o <br />0 <br />Postmark <br />'L~ ~ Here <br />i Z <br />2 <br />~£.P.~ ..G?1t.~_ <br />C.__..~~~------------ <br />g~53° <br />(Trend <br />PS Form <br />^ Insured Mail ^ C.O.D. <br />4.- ResMCtetl Delivery? (Exf2 Feel ^ Yes <br />7~~3 0500 004 1727 5443 <br />DomesEC Retum Receipt 2ACPRI-0B-P-0eE <br />s t, 2, and 3. Also complete <br />clad Delivery is desired. <br />e and address on the reverse <br />return the card to you. <br />d to the back of the mailpiece, <br />if space permits. <br />i to: <br />OU,'~K <br />STy2;}-n D N <br />~U <br />X ~ ^ Agent <br />^ Adtlressee <br />B. Receivetl by (Printed Name) C. Date of Delivery <br />D. Is tlelivery address different r~r[fjf~ is <br />'rf YES, enter delivery address below: ^ <br />A Signa r <br />J( ~' <br />G~Agent <br />^ Adtlressee <br />B. Received by (Printed Name) C. Date of Delivery <br />0' <br />D. Is delivery adtlress ditferenf from item 1? <br />if YES, enterdeliveryatldress below: ^ Yes <br />^ No <br />3. Service Type <br />37 ~G Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />_ ~ r ~f ~ cyO S3 Q ^ Ensured Mail ^ C.O.D. <br />o a. Restricted Delivery? (Extra Fee) ^ y~ <br />service label) 7003 050 0004 1727 5436 <br />,August 2001 Domestic Retum Receipt ,,,,,vo, ,,,, ~ ,__ <br />