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ems 1, 2, and 3.-Also compVete A R ei <br />ved by <br />aricted Delivery is desired. f <br />Lc~ct <br />sme and address on the reverse <br />:an return the card to you. <br />C. Sig t'}e <br />/ <br />;ard to the back of the mailpiece, X V <br />ant if space permits. <br /> D. Is deliv ac <br />sed to: If YES, enter <br />X <br />rife, Inc - l~ <br />,~.I~i ~. crL;~A~F~i ~~u6 ' <br />~~ ~ ~t tJ~ cp <br />~~ I C ~ ~LZ 3. Ice Type Z <br />rtlfied Mail ss Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />'aervlc 7~~3 0500 0~~~ 638 1546 <br />,March 2001 Domestic Return Receipt 102595-111-M-1424- <br />ems 1, 2, and 3. Also complete <br />stricted Delivery is desired. <br />ame and address on the reverse <br />,an return the card to you. <br />card to the back of the mailpiece, <br />mt if space permits. <br />ssed to <br />;rer`ncth LLLG <br />Lau n-h~ P~aad 3 b <br />CIE Co ~Ab $ <br />Agent <br />item 1? ^ Yes <br />?qw: ^ No <br />Agent <br />^ Addre, <br />`~ f,~s <br />=a ~~~F I ~y ~~~ <br />_ <br />C' <br />? <br />"'Y <br />u <br />a . <br />~ <br />f ~. <br />lrt <br /> <br />m .~ ~~ <br />m ~~, (r~' <br />p <br />.~ <br />Postage <br />$ <br />p <br />p Certified Fee <br /> <br />p ~ <br />p Remm Reciept Fee <br />(Endorsement Requlreo) <br />p RestriCed Delivery Fee <br />p (Endorsement Required) <br />ul <br /> <br />° Total Postage & Fees <br />m <br />p <br />p <br />M1 <br />m <br />m <br />_D <br />a <br />m <br />p <br />.9 <br />° <br />O <br />O <br />O <br />O <br />C] <br />u'1 <br />p <br />m <br />0 <br />t~ <br />M1 <br />D. Is delivery address different fmm item 1? ^ Yes <br />If YES, enter delivery atldress below; ^ No <br />3.~Se Ice Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Fxt2 Fee) ^ yes <br />l eser 7003 053 gaga 638 1638 <br />August 2001 Domestic Return Receipt' <br />ems 1, 2, and 3. Also complete <br />stricted Delivery is desired. <br />ame and address on the reverse <br />,an return the card to you. <br />card to the back of the mailpiece, <br />ant if space permits. <br />ssed to: <br />x_{ WctcC SK, i. Club lTl~ <br />IG~)"1 G S~GtL <br />lYICIY\ ~(1VZ <br />aje, C G X03 3 <br />A. Received by (Please Print Cleady) <br />C. <br />D. Is delivery atldress different from item 1? <br />If YES, enter delivery atldress below: <br />Clearly) ~ 8. <br />102595-02-M-0835 ~ <br /> <br />~G Postmark <br />7S Hera <br />Sent To <br />-~LZ----~~'ctri4 __~1JL"-"' f?{~r12~~._/.~`r~,lc;.6:4~=w~: <br />Sireeq apt. No.; <br />or PO Box NO. /'~G_.~~~-~~~________________________________________ __ <br />Ci+~ State, Z1P+4 <br />~fSlLxI~l~ <br />14~~ <br /> <br /> <br /> <br />® ~; ~ , <br />3e B, <br />~ <br />3'~ <br />. <br /> <br />Postage $ d , <br />Certified Fee ~1 .3 <br />r%t <br />Retum Reciept Fee <br />(Endorsement Required) <br />/ . ~ ~ Pnstmark <br />Hera <br />Resirictetl Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees ~ ~' ~~" <br /> rR <br /> <br /> <br />Sery `d Pcstage + a . <br />L~ ` <br /> p Cedifed Fee ,~ ,'3C <br />^ A ent <br />g O Reium Reciept Fse <br />(Endorsement Required) <br />I ~ S Posmark <br />kere <br />^ Addressee p <br />^ Yes <br />O Restricted Delivery Fse <br />(Endorsement Requred) <br />^ No ~ <br /> a Total Postage & Fees ,Pp , ~ `Z - <br /> m <br /> ° Sent To <br /> ° Cc~la:~~%vcn4 <br />\Nctlc: r <br />i <br />5~ <br />~lu6 <br />CC$~ <br /> __ <br /> <br /> <br />Street, Apt. No.; .. <br />. <br />.. <br />_ <br />. <br />---------- -- -- <br />3 i <br />ti--r <br /> sr PO box No. <br />° - <br /> <br />' -_+i <br />------------------~._ - cy_:nn-~---L-SRznJG-------._Rng-t <br /> Crty Slate, ZlP+4 <br />^ Express Mail _ ~ ; ~p CG 033 <br />^ Return Receipt for Merchandise ~- ~ ~ _ ~ - - <br />^ C.Q.D. <br />3.. Se ce Type <br />Certified Mail <br />^ egistered <br />^ Insured Mail <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />r 703 ~5~~ ~~~~ 638 1621 <br />service /a, _, <br />~, March 2001 Domestic Return Receipt 102595-01-M-1424 <br />