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^ Complete items 1, 2, and 3. Also complete A. signature " ' `~ <br />item 4 if Restdcted Delivery is desired. X j ~_: ~ _~`- T!Tr~pt, ;~ ~ : ? ~`'~ A1M!C-' <br />^ Pdnt your name and address on the reverse '~ Addressee <br />so that we can return the card to you. B ceiv 6y (~ ~ t N e) C. Data of Delivery <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. - <br />7. Article Addressed ta: <br />~'~. 9 r~ C-~EnE' ~i~~~~ <br />j <br />J ~! <br />if VES, enterdyNeryebw:, }?No <br />~tvo ~: r '~~~ , ~- <br />~~:- q~~ <br />a Lar.r~O~ <S'v~ <br />3. Service Type <br />'~,CeNfied Mail -~ '~~- "-'~' ~ <br />~r s Mail <br />^ Registered ^ Return Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number ``~~ Q <br />(Transfer Irom service IabeM ~ ~ .~ 5 ~ OCR ~ ~ (GT I ~~ 52.1 <br />PS FOrm 3811, August 0 I Domestic Return Receipt 2ACPRI-03~P-4091 <br />,:Complete items 1, 2, and 3: Also complete <br />'-item 4 if Restricted Delivery is'19esired <br />^ Printyour 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 />•~~~~~r ~ <br />8oZ2/-O5~ <br />Name) J~ yC.~~t,' p of <br />D. IS delivery address ditterem l'1? <br />if YES, enter tlelivery atltlress et'p)y",~ <br />Certified Mail ^ Fxpress Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery! (Extra Fee) ^ Yes <br />2. Article Number ~~~ !,,//~~ / ,~/~ ~~%~ <br />(Transfer from service /abeQ 7GC7C~ ~ Cl ~~ <br />PS Form 3811, August 2001 - Domestic Return Receipt zACPRi~Proet <br />ra ~ ~ ~ <br />rL <br />~ •. <br />f~ <br /><~ ~ .( '~;~ 0.,i lt' <br />I; <br />i'° , <br />'° ~ I` <br />S <br />' <br />t <br />i <br />.~7 <br />r <br />1 <br />-.D <br />C` Postage s 3 <br />~ Cergfietl Fee <br />O 30 <br /> <br />P <br />d <br />p osbna <br />c <br />0 Return Redept fee Rare <br />(EiMOrsemem Required) <br />I~ Restdcted Delivery Fee <br />Lf'I (Endorsement Required) <br />r-3 <br />(rl Total Postage & Fees <br />,p ~. <br />ti <br />p Senf o .~^ ~~~ -~. . ~ I' <br />o rC ITC C..1f-f <br />--------------------- --- ------------------------------------------------ <br />rv SiieeC ndt iJO.; <br />or PO BOx NO. I~S~t u ~. Ihu~__~)~ <br />-- -- ---~-- --- ----------- -------^---------'--- t -- -----------------~ <br />~;ry, Stare. ZIP C ~ ~e <br />~~ c` cl <br />fL <br />,a <br />r <br />ru <br />S Postage 3 <br />rl <br />~ Certified Fee , <br />r' Postmark <br />Return Receipt Fee Here <br />rTl (Endorsement Requred) t <br />~ Resirictetl Delivery fee <br />~ (Endorsement Requiretll <br />O ___ <br />p Total Postage a Feea ',b '7, ^ f ~~j <br />M1 <br />~ Sent To <br />Street, Apt. No.; wQ69~p~NO~~ ~ Q ~/ <br />p ...............................!. <br />O ...._.. ~.._._._~ Ss~c~...-"""-.__._........ <br />~ Gry, State. ZIP 4 `(L"y~ /r~ ^ ~~ ~ _ ~~ <br />