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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is tlesired. <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. Anicle Atldre`ssed to <br />G>/iSK <br />7 s' ~J2LU'~~ ~~ a H / Chi <br />gown <br />X ~ _ ^ Agent <br />~Addn:ssee <br />ceived y (Pooled Name) C. Da/te of De <br />~ : ~! ~/~ <br />D. Is delivery address different from item 17 ^ Yes <br />If VES, enter delivery addres3 below: ^ No <br />3. Se ice Type <br />Certifietl Mail O Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ yes <br />2. Article Number <br />(transfer from service label) 7 0 01 2 510 0 0 0 3 6 711 13 51 <br />PS Form 3811, August 2001 Domestic Return Receipt <br />• Complete items 1, 2, and 3. Also complete <br />item 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 Addressetl to <br />~I~ravt~•e, G t..vttti <br />1451 13ri~~~ <br />g~rp4U <br />A. <br />B. Received by (Printed Name) <br />102595-02-M-1540 <br />^ Agent <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delrvery address bebw: ^ No <br /> Ob90g .r <br />3. Se loe Type ~ ~~~ <br />ertified ail ~/~ ress Mail <br />Registere ^'Retu~i taece <br />ipt for Merchandise <br />^ Insured M it L <br />^ C.O.D. (t// (~ <br />4. Restricted Deli xtra Fee) ^ yes <br />2. Article Number ~7 ~/'~ 9~ ~ /~ c-~ <br />(transfer /rom service label) l ~{~/ t,~ S ri`-' Q~ ~J .~.~ ` " $ /V~ <br />PS Form 3811, August 2001 Domestic Return Receipt 10259502-M-1540 <br />^ Complete items 1, 2, and 3. Also complete <br />item 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 />t. Article Addressed to <br />1159 I ~+~~~ <br />~~ev~d.a-"max, Co <br />Bd~4° <br />A. Signature <br />>>> ^ Agent <br />X ~~ ` ~~ ^ Addressee <br />B. Received 6y (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Se ice Type <br />ertified Mail f <br />Registered 1 <br />^ Insuretl Mail <br />4. Reslrictetl Delivery? <br />Ex~l //tte~1a ''{{~~ <br />Retur~Rec~p7vur~.etril7andise <br />cvr n QQ 1177 <br />2. ArticL• P:cmber ~`v~~a3~ -~- <br />Rarsfer from service label) <br />PS Form 3811, August 2007 Domesfrc Return Receipt 102595-02~M-1540 <br />