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~ Complete items 1, 2, and 3. Also rnmplete <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 />t. Artlc(e Addressed to: <br />~:.t,1J:~~(~,Lt~t <br />g~~ C~.~ti~v~ <br />~'~(~.'~~a~,,.."-~'^~`~°~'i X19 <br />n ~--~^ Agem <br />B. Received by (~dnted Name) I C. ~ D.e71'rverti <br />1... Ci 7 <br />D. IS delivery adtlress differentfrom Rem l? ^Ves <br />if YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />i2 Aricle Number 702 2410 ~0~1 409 8244 <br />(Transfer /tom service label) <br />~ PS Fom13811, August 2001 Domestic Retum Receipt 2ACPR1-03-Z-0985 <br />. ~ Complete items 1, 2, and 3. Also complete A. Signature /~ <br />item 4 if Restricted Delivery is desired. X ~`1n'p ,-n , ^ Agent <br />^ Print your name and address on the reverse ~/Lw ^ Addmssee <br />. 5o that we can return the Card to you, B: Received by (Printed Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, <br />. or on the front if space permits. <br />1, Article Addressetl ta: <br />,~ <br />~F IOC /,~f~ ~b l,L.t(~Q1C~ <br />D, Is delivery address different from Rem 1? ^ Yes <br />if YES, enter delivery address below: ^ No <br />3, Service Type <br />^ Cenifietl Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />Q Insured Mail , Q CA.D.. _ _ _ __ <br />r~~ L/~ J 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2 ArticleNUmber 702 2410 0001 4~~9 8282 <br />(Transfer from service IabeQ <br />PS Form 3811, August 2001 Domestic Retum Receipt aACPRl-o3-Z-0s85 <br />