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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivsry is desired. <br />' e Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the backnf the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />g~ 'Svau~ 11~1~1 <br />'Fe~g~.t <br />VS Foro~i{ Servt~t <br />t~ 8vre-tt~ Ca~r~ <br />w ~ _ _ . _ . <br />1 , • , 1 \ I ~ ~~" ~• <br />A. ~ elute - ~~' <br />X ^ Agent <br />^ Addressee n <br />B. ec Ived y (Printed N/yne) C. Da a of Dellvery ~~ 0 ~ 2UQ~ <br />h G%I.t 4 U <br />. Is delivery address different fmm item 17 Yes Q%i+%a QNr27)sG r(,:+1 <br />If YES, enter delivery address below: ^ No ..l`f! CI ii?ip.>... ~ (if',.'~ <br />3. Service Type <br />~ified Mail ^ F~cpress Mall <br />^ Registered t~eturn Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Number V ~ ' / <br />'. (trans/er from service label) 7 U O `3 I Q ~ Q Q d U~ , ~ b ,Z ~~ O <br />PS Form 3811, August 2001 Domestic Return Receipt 1oz5ss-o2-M-15ao <br />°le <br />m ! I ~ <br />rLl .. <br />o „ P <br />ra ~ <br />M1 <br />~ Postage S L1N O <br />~ CeNlled Fee ~ ' .3 <br />~ Retum Recept Fee ~ ~ N <br />0 (Endoreement Required) ~ ~~ o] <br />O Ras[rlMed Delivery Fee ~ g <br />a (Entloreement Required) ~l ~• ~~ <br />O J5Q <br />~ Total Postage 8 Fees ,$ 4.b ; Q~/28~~ <br />m <br />~ ent o <br />f'~ Street, Apf: No:; <br />ar PO Hex NO. ~S..FQY 4-a~--~~xJSs:Y...i.~..B.urn3 ~..Sut?Y~ <br />city, state; zitio <br />~ ~, cv ~ i3o <br />:,, , <br /> <br />rR HOfa:fil~la^ <br />". (DomestidMail01 <br />..D <br />rR <br />M1 --r.[rii®mv~ ur <br />0 Postage $ <br />f1J Certigetl Fee <br />O <br />Q Retum Reclepl Fee <br />(Entlareemenl Requiretl) <br /> D <br />R <br />~ (E orserne <br />nl <br />Requlred) <br />0 <br />~ <br />Totel Postage & Fees Q <br />3 <br /> <br />m <br />O t a~ <br /> <br />E <br />h <br />o ,c <br />w --- <br /> ..._.... <br />. .. <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 cart 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 />RtGf{ARD ~ EuE PERK~~ <br />~a4 N. tooW.~~c-y <br />B~.AN'D ~ ~-, uT <br />ays~e <br />2. Article Number <br />(iransler /tom service label) <br />PS Form 3811, August 2001 <br />A. <br />>L ~ <br />F- <br />~ L'lH r~S.' N <br />'-W'---~.. ~~..` ~. <br />~Si/ - <br />i'iYi~iY~Y~ <br />Agent <br />.,, sf ^Addressee <br />B. Received by (Printed Name) <br />D. Is delivery address different from item 17 u vas <br />It YES, enter delivery adtlress below: ~~' No <br />3. Service Type <br />B'i'..ertified Mall ^ Express Mall <br />^ Registered f7f1'etum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />"'7 Oc93 60L©~02 d'7 ~ ((, e923( <br />Domestic Return Receipt 202595-02-M-154o <br /> <br />