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^ 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 Addressed ta: <br />~~ ~/.~~ <br />S~ 0 2 ~ <br /> <br />^ Agent <br />^ Addre <br /> <br />D. Is delivery addresd different from item 1? ^ Yes <br />If VES, enter tlelivery atltlress below: ^ No <br />/ ~ /6 ,y/SO~ 3. S~e~"ce Type <br />(f/ C l/ IE Certified Mail ^ press Mail <br />^ Registered turn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />I 2. Article Number ^O~~ ~~ W~' / ~~/p ~~~ <br />(leans/er from service /abeq •/ W O <br />PS Form 3811, August 2001 Domestic Return Receipt tozsss-ot-m-zsos <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 Addressed to: <br />~~,~gr,- C. ~-~sr,c <br />~oS Z3'/y ~~' <br />' ~ ~y <br />A. Signatu e <br />X / ^ Agent <br />^ Addressee <br />B. R~ecreived by (Punted Name) C. Daate o~lDelivery <br />' V~/n/ Fn Lr ~!9/ .. 7 U~~L~ <br />D. Is delivery address differen5 from item 17 ^ Yes <br />If YES, enter tlelivery address below: ^ No <br />...) ~® ~Sd ~ ~ ~ / 3. Service Type <br />L9 Certified Mail ^ Express Mail <br />^ Registered f~l-eturn Receipt for Merchandise , <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(transfer from service label) 7d9q ~/~(',y~ b01'7 g7/$ 508.y <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-2509 <br />