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<br />0 <br /> <br />O Postage $ .J ~ FtIN/ <br />O <br /> q <br />~ <br />~ Certified Fee (] <br />T 3 ~ <br />s , a o <br /> <br />~ <br />~ <br />Return Receipt Fee <br />(Endorsement Required) <br /> <br />7 <br />ra <br />~~ 0 <br />p <br />~ Restricted Delivery Fee <br />(Endorsement Required) rJ~10 <br />`(~ A <br />O Total Pos[a9e & Fees $ `f . ~~. s87082Y_g90~ <br />0 <br />~ Reci/p~pnr'~s/~lame (PIe(E~E Print C rly~ be completetl by mailer) <br /> .-....... AE <br />Stree[, qo[ .; or Po Box No. <br />O <br />t` Ciry~~bte, ZIPr4 C ~ d ~~ r/~ <br />~//i'7 //./G C/ L <br />^ 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 [he front if space permits. <br />A. Receivetl by <br />B. Date of Delivery <br />Co .3-o y <br />1. Article Addressed to: <br />~Gw~ <br />C. Signature <br />x /y~j~ /!~ o Add°e <br />D. Is delivery address different from item 1? ^ Yes <br />If VES, enter tlelivery address below: ^ No <br />3. Service type <br />Certified Mail ^ Express Mail <br />^ Registered f~'Return Receipt for Merchandise <br />^ Insuretl Mail ^ G.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ yes <br />2. Article Number (Copy from service lobe/) r~~0 <br />~0OV0lo0aOVots `~~Db' <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-m-t]as <br />