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^ Complete ttems 1, 2, and 3. Also complete <br />ttem 4'rf Restricted Delivery Is desired. <br />i ^ 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 mailpleca, <br />~ or on the front FF space permits. <br />1. Artkie Addressetl to: <br />y S ~ ~k--Lry~~. <br />~~ ~ CCU v l ~ ~S <br />a sly ~ <br />X ^ went <br />~IiO?c ^ Addresse <br />B. ReceNed by, Rimed Name) C. Datryof DelNer <br />D. is dedNery address diflerentiranltem 7T []Yes <br />h YES, enter delNery address Irebw: ^ No <br />3. Service Type <br />p CertlNed Mau O Ewa Mall <br />^ Replstered p Relum Receipt for MerrumrMis-' <br />^ Ireured Mali ^ C.O.D. <br />a. Restrktad Delivery? (E.va reel ^ vas ' <br />~ 2. AMdeNUmber 7pp4 2510 0007 5799 9528 <br />l (!>mnsler innn service khell <br />~ PS Form 3811, February 2004 Domestlc Return Receipt tozs~iGts <br />1. Artkle Addressed to: <br />l <br />~t - O ~ c. y_ ~-l lo(~ (~ -1 <br />' ^ Complete hems 1, 2, and 3. Also complete <br />ttem 4 tt Restricted Delivery Is desired. <br />^ Prinn 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 meilpleoe, <br />J or on the from tt space permits. <br />a Signature <br />X <br />e. ReceNed by (Primed Name) <br />O Agem <br />C. Date of De1Nei, <br />D. b delNery etltlress dinerent Iran ttern 1T ^ Yes <br />M YES, emer delNery address below: ^ No <br />13. Sarvfce lypa <br />i ^ ceroned Man o F Men <br />^ Regbtaed O Return Receipt for Memtrendh= <br />4. Resofcted DeINeryT (Exbe Fee) ^ Vas <br />2. Ankle Number <br />(trarrslermmr aerHce feDep 7pp4 2510 0007 5799 9511 <br />PS Forth 3811, February 2004 Domestic Return Receipt iozsasoz+n-is - <br />7pp4 2510 0007 <br /> ti mm m <br /> ~ <br /> <br />° <br /> <br />0 <br />~ ~ <br /> <br />mn <br />~~ <br />D~ <br />c.Z <br />om <br />3~ <br />~D <br />mm <br />Ca. <br /> <br />~ <br /> <br />~ <br />G <br /> <br /> <br />9 <br /> <br />q <br /> m dm ~m <br />0 T <br />m m <br /> <br />IEA ~ <br />I <br />1 ~ <br />1 ~~ <br />I ~n <br />°M\ <br />-^\ 1 <br />V <br />0 <br />~ ~~lMI <br />5799 9511 <br />7pp4 2510 0007 5799 9528 <br /> ~ <br />o <br />W mp <br />~N <br />~4 m <br /> <br />~D <br /> 0 3a 3~ ='~ <br /> .~ <br />b <br />40 C9 <br />~0 <br />0 q <br />m <br />£ <br />5 <br /> to w _ <br />O <br />V <br />~Z~~ <br />ms <br /> <br />