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^ Complete items 1, 2, and 3. Also complete <br />kem 4 if 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 'rf space permRS. <br />" t. Article Addressed to: <br />.S.n.s~:.~ ~t I lv., <br />(' \ <br />~twe5t ~-om,.~kv~J Ce.~ia.tit <br />as aa- 1~l.CG.,,,~n,~ <br />Cs r3..,~L J.ti~c , dn, C c; . <br />,~- l S U.S~ <br />f. <br />A <br />X <br />B. eceived by (Prigt~ Name) C. Date of Delivery <br />D. IsdelNery atldress different from item 17 ^ Yes <br />It YES, errter delivery edtlress below: ~"~ No <br />3. S~e/rvice Type <br />Id Certified Mail ^ Express Mail <br />^ Registered ^ Retum Aeceipt for Merchandise <br />^ Insured Mtil ^ C.O.D. <br />4. Restricted belivery7 (Extra Fee) ^ Yes <br />2. ArtideNomber 7003 2260 0000 6359 8957 <br />(transfer hom seivlce lebeQ -. <br />PS Form 3811, February 2004 Domestic Retum Receipt tozsasoz-M-tsao <br />f ^ Complete items 1, Z, and 3. Also complete <br />ttem 4 if Restricted Delivery is desired. A Si <br />Agent <br />n^ <br />~~ ---'~/ <br />c~ <br />r <br />^ Pdnt your name and address on the reverse ~ <br />. <br />~ <br />" <br />-v i...~Zl Addres <br />so that We Can return the Card t0 yoU. B~eceived by 'nfe Name) C. Date of Deliv <br />^ Attach this card to the back of the mailpiece, <br />7f <br />~~ _ <br />' <br />or on the front 'rf space permits. s <br />' - <br /> <br /> <br />1. Article Addressed to: D. Is d rvery <br />If 5. er d~~; ttem 17 ^ Yes <br />d~X'~6~v a plow: ^ No <br />!y' , <br />i G n., w 1R S r E4,.~, , ~44~ <br />1 $OO J /~4~rreS~Eet~l +~ . US c <br />`~` ~ I ~ (~ r-\ 3. Ser~p'ce Type <br />LJ -Y ~ w "Certified Mail ^ Express-Mail <br />(~y ^ Registered ^ Retum Receipt for Merchandise <br />O 1 4 / (~ ^ Insured Mail -, ~. C.O.D. <br />4. Restrieted Delivert/1 (Extra Fee)- ^ yes <br />z: ArticleNUmher 91 710B 2b33 3932 7859 55Q2 <br />(frarrsfer ham~servke label) <br />PS Form 3811, February 2004 Domestic Rehm Receipt ~ 1025ss-oz-M-isuo <br />i <br />x ; ^ Complete items 1, 2, and 3. Also complete <br />ftem 4 if 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 if space permits. <br />1. Article Addressed to <br />n, <br />} J ~tJ X [ d d <br />~r'l o ',-~'f- f9 S `-~ `- <br />l ~+o~ <br />~2. Article Numher <br />rr ,.~ r....~ a.r,.e mr.en <br />A Signature <br />^ Agent <br />Name) I n ~~n of Delivery <br />D. Is delivery address different rrF~^~ 17 ^ V!y <br />If YES, enter delivery adtl ss eft6¢~. ^ Nc <br />_ S~J <br />3. S e Type <br />Certfed Mail ^ Express Mail <br />^ Registeretl ^ Retum Receipt for Merchandise <br />^ Insured Meil ^ C.O.D. <br />4. ResMCted Delivery? (Extra Feel ^ yps <br />9l. 7l,flR ~l,aa a9al, 7A S9 S41,S <br />