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<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 />sn that v+e 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 />Paul Holmes <br />P• 0. Box 2055 <br />Hattiesburg, MS 39403 <br />Heceivetl Pease P ' t ) B. D e of eliv <br />~~~ ~{~ ~~~ ~'~~ i~p~ <br />C. Si nature <br /> /~~-F{~j „ ^ Agent i <br /> ~w1/t^ ^ Atldressee ~. <br />. Is ` livery a different from item 17 ^ Yes <br />If ES, enter delivery address below: ^ Nc •i <br /> i <br /> 4 <br /> a <br />i <br /> <br />3. Service Type <br /> <br />Certified Mail <br />^ Express Mail c <br />^ Registered ~ Return Receipt for Merchandise i <br />^ Insured Mail ^ C.O.D. ~ <br />4. Restricted Depvery7 (Fx1ra Fee) Q yes .. <br />- ~ ~ ~ ~ ~ ~ . ~~ 2. Article Number (Copy Irom service label) <br />7099 3400 0017 2945 5379 <br />PS Form 3811, July 1999 Domestic Return Receipt <br />Q' <br />f~ <br />1D2595-OD-M~0952 <br /> <br />rm++ <br />Peter '• '~ ri :+ <br />,',_i; ~`hilr <br />~ <br />? <br />Postage <br />$ ,3(},:~ <SQ`4 - . <br /> <br />N <br />Certified Fee <br />- ~ <br />2 <br />10 1~ <br />?+R' <br /> . <br />' Postmark <br />rv <br />~ Return Receipt Fee <br />(Endorsement Required) <br />1 • 50 Here - , <br />~ , <br />, <br />~ Restricted Delivery fee <br />~ \ <br />~ <br />~ <br />a <br />O (Endorsement Required) ' <br />• <br />~ Total Postage 8 Fees $ 3.94*,: <br />? <br />m RacipienPs Name(Please PnnfClearly)(fo'eeCOrriplefzd6ymatler) <br />.:. <br />: <br />. <br />::.. <br /> , <br />,; <br />Paul-- Holmes--- - ------ -=` <br />- --- , <br />, <br />----------------------------- <br />V' -- <br />Street, Apt No.; or Po Box No. .. <br />°- Box 20 <br />0 <br />P <br />5 ~ ~ <br /> <br />o - <br />-..-- <br />.,-- <br />._ <br />- - - -- <br />ay, sreie, zlP.a -- - --- -- - - - - <br />~ Hattiesbur MS 39403 <br /> :.. . . <br /> <br />