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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 Adtlressed to: <br />A. Si~gn''at~u~re^/ p <br />X / 1~ ~F . / , ^ ^ Agent i <br />~~ ((~ ^ Addressee <br />B. Receivetl by (Printed Name) ~ C. Die of Dpllvery„ I <br />D. Is delivery address different from Item 17 IU Ye: <br />If YES, enter delivery atldress heiow: ^ No <br />Mr. /tti: Kt R©~c.iG <br />333 ~J, ~I prncLO f}yP,. ,3r~'~,~ <br />1 PP ~lu ri,~e. ~ Cpl urnr~L+~ <br />gt~~ <br />3. Service Type i <br />~Certifled Mall ^ Express Mail <br /> <br />D~Registered I <br />^Aetum Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. ResMCted Delivery! (Extra Fee) ^ Yes i <br />2. MicleNumber 7006 2760 ~p172 2877_ 8226 <br />(transfer from service labeq '~-- -- ~- <br />~_ <br />PS Form 3811, February 2004 Domestic Return Receipt - -,vm5s-0z-M-tsao I <br />___ __ <br />UNITED STATES POSTAL SERVICE <br />iiuii <br />• Sender: Please print your name, address, and ZIP+4 in this box <br />(OSa ~~~S~YO.~sF' St~.~ l~AbsF~ ~ ;~ 207 <br />~b2~-- <br />First-Class Mail <br />USPtS e & Fees Paid <br />Permit No. G-10 <br />u <br />1L, LIL„„t,i, IL ~,I,L„6111,„tL„i,d,,,Lt, L i„t L ll <br />