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^ C:omplete items 1, 2, and 3. Also complete <br />R;em 4 tt ResMCted Delivery Is desired. <br />^ Print your name and address on the reverse <br />s,a that we can retum the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1~.~Ajrti~cl~e Add~resiseLd to: , / 7 ~ ~/ ~~ <br />G~~y l.D d'blval <br />A <br />^ Addressee . <br />~r~/~~~~ ^ Agent <br />eN~e/d~by jpdn[ep Name) C. ate of Deliv^e~ry <br />f~V t-~ L/~ ~U' ~ ~o ~ U / <br />D. B delivery atldress differem from hem t 7 ^ Yes <br />If YES, enter tlelivery address below: ^ No <br />3 ice Type <br />' (fled Mall O Express Mail <br />^ Registered ~ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery'! (Extra Fee) ^ Yes <br />2. ArtkleNumber 7007 1490 0000 3660 926 <br />(!ransler li0m serWCe ._. <br />PS Form 3811, February 2004 Domestb Return Receipt <br />^ Complete items 1, 2, and 3. Also complete <br />Rem 4 tt Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can retum 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 />~G,~, ~. <br />~~'~,~ ~~ <br />A Sig~re <br />x' //ryA <br />B. Received b (Printed Name) <br />102595-02-M-1540 <br />^ Agent <br />D. Is tlelivery address different from Rem 17 u Ye: <br />If VES, enter delivery adtlress below: ^ No <br />3. Ice Typo <br />Certlfled Mail ^ Express Mail <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (Exoa Fee) ^ Ygg <br />2. ANCIe Number <br />(rransterfromservkeia 7007 1490 00oa 366 9213 <br />PS Form 3811, February 2004 Domestic Retum Receipt 1ozs9s-at-M-lsao <br />^ Complete ttems 1, 2, and 3. Also complete <br />Rem 4 tt 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 R space pertntts. ,~,; <br />1. Article Addressed to: <br />iC~a~x ~~a <br />//561 G~ ~~/~ <br />A Ig re -- <br />^ Agent <br />X '( ^ Addre <br />B. Receved by (Printed Name) Sy. Clete ofiDel <br />D. Is tlelivery address different from hem 11 ^ {Ie; <br />H VES, enter tlelivery address below: ^ No <br />3. Type <br />Mall ^ Ezpe-v Mall <br />Registered ^ ftetum FLeL91pl 101 MerCharldl5e . <br />^ Insured Mall ^ C.O.D. <br />2. An <br />(fr. <br />