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Certified Mail Receipts <br />^ Complete items 1, 2, and 3. Also complete A. Received by (Please Pnnr Clearly) B. Date of Delivery <br />item 4 if Restricted Delivery is desired. <br />~• Print your name and address on the reverse <br />o that we can return the card to you. C. Signature <br />.ttach this card to the back of the mailpiece, X ^ Agent <br />on the Front if space permits. ^ Addressee <br />. I deliv atltlress different fm m t? ^ Yes <br />~rtlcle Atldressed to: <br />YES, enter tlelrvery address below: ^ No <br />~ ' ~ I ~ ~\ f '. ~c <br />10 ~J N-~ .S 1 \e~~Q yQe 3. Service TYPe '• ~ / <br />~Certifietl Mail ~ ~ 55~~ /C/y <br />^ Registered ut~~eJpt iOr Merchandise <br />_')e,~'1vc.,f' e° ~soa~3 ~ Insured Mail ^ C.O.D. <br />\ d. Resfncted DeLvery? (Exrra Feel ^ Yes <br />• <br />~~ <br />n ~\ <br />O' O <br />~~ <br />1 OJT <br />C,~~1` <br />~` <br />' Adrele Number (Copy lmm service label) <br />.. 9090 ~(e~O Obi <br />~' ;Form 3811, July 1999 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 Adtlressed to: t11 <br />~o~~-I~Ts4~ce~ ~MJ <br />(.~es~on, ~o glo~l <br />102595~OO~M-0952 <br />A. Receivetl by (Please Print Gleany) B D lerof elrvery <br />O C <br />G Signature ~y ,l (~ <br />X ., a -/ J... . _ /,U~ 0 Agent <br />D. Is tlelrvery atldress tlRfrlrent from item t~ ^ Yes <br />II YES, enter tlelrvery adtlress below: ^ No <br />3. Service Type <br />~CedAied Mail ^ Enpress Mail <br />^ Registeretl Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ Ves <br />2. Adicle Number (Copy lmm service IabelJ <br />~~~a [~ ~ D ~o /.~ S/ 5' y Ddb ~ <br />PS Farm 3811, July 7999 Domestic Return Receipt 10259500-M-0954 <br />I <br />