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^ Complete Rams i, 2, and 3. Also complete A <br />Rem 4 if Restdcted Delivery is desired. <br />^ Print your name and address on the reverse X <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, B: <br />ermits <br />or on the front R s <br />ace <br />p <br />. <br />p <br />6 <br /> <br />1. Artice Addressed to: <br />/U ~ ~~ <br />1/5x7 G~y~~~ ~i~/~ <br />Agent <br />C. <br />Is delNery adtlresrd`ttf~ent fmm-Tram 71 ^ Yes <br />tt YES, enter delivery address bebw: ^ No <br />3. ~ Type <br />Mail ^ Express Mail <br />^ Regl,Kered ^ Return Reoalpt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Fxba Feel ^ Yes <br />z. ArtICIeNUmber 7007 1490 oooa 3660 9220 <br />(liansler M1orn servke h <br />_-_.__ <br />PS Form 3811, February 2004 Domestic Return Receipt -- " <br />^ Complete Rems 1, 2, and 3. Also complete <br />Rem 4 tf 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, G <br />or on the finnt if space permits. <br />1. Article Addressed to: <br />~r~ ~ ~~~r 5~. <br />~3~ GQr iPkca' ~_3 <br />Co d'D~~/ <br /> <br />tozsssm-Mesa <br />A Signature <br />X ^ Agem <br />~~- p~.,L7 Addressee <br />. Received by (Printed Name) C pt~ ~gk+~ry <br />D. Is delivery adtlress different from item 17 ^ Yes <br />fl YES, enter delivery address below: ^ No <br />3~ Servbe Type <br />~elURed Mall <br />^ Express Mail <br />^ Registered ^ Return Receipt for Memhandise <br />^ Insured Mall ^ C.O.D. <br />4. Restikted DelNery7 (EMIa Feel ^ Yes <br />-_. <br />2. Article Number ------- _____ <br />(Tiansler /turn serve laben __. <br />7007 1490 000 366 9237 <br />--_----- <br />PS Form 3811, February 2004 Domestic Return Receipt -"--~~---- - -- - <br />^ Complete Rems 1, 2, and 3. Also complete <br />Rem 4 R 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 from H space permits. <br />1. Article Addressed to: <br />~~/ ~..GCir(J <br />~J~ID f1~~-(,c Cam. #/k3 <br />~/R~,~Pi1, Co l/ `~ d~C7ol <br />A Signature <br />x ~l <br />B. Received Dy (Pooled Name) <br />D. Is delivery ad <br />If YES, enter <br />I <br />~~OI <br />- 102595-02-M45a <br />n^r~A~Jg~e'~nt <br />V~•ywa,reSSQe <br />C. Date of Delivery <br />i17 ^Yes <br />~~ ^ No <br />N <br />N <br />ti <br />~~~ <br />3. Sere Type "~°% <br />CertHled Mail ^ F~ress Mall <br />^ btorad ^RBNm RBOelptfOr MefChandlSe <br />^ Insured Mall ^ C.O.D. <br />4. Restricted DelNery7 (Extra Feel ^ Yes <br />2. Article Number- .707 1490 0000 3660 1,9190 <br />(rrensNr /turn s__ <br />r.r~ n/fJ• ~~. _ <br />