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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired A. Si tore <br />^ Agent <br />. X ~ <br />^ Print your name and address on the reverse . addressee <br />50 that we Can return the card t0 you. - B. Receivetl y (Printed Name) C. Date of Delivery <br />^ Attach this card to [he back of the mailpiece, ,~/ <br />or on the front if space permits: <br /> ^ Ye <br /> D. I5 tlelivery atltlress different from item 1? s <br />t. Article Addressetl to: i <br />t ~{ <br />If YES, enter tle(ivery address below: <br />^ No <br /> <br />~:v;s~eN ~~'i~"l~Ne~s'~.~'.Geolo~t' ~ I _~' <br />l/ <br />l3t3 S{ieTr?`~^~ Sf.~`.('?~oni2-iS t <br />L7eiJv~ ~ co ~c~~.o3 a. ServkeType <br /> &1 Certified Mail ^ Express Mail <br /> ^ Regisieretl ^ Return Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(lrans7er from service label) 7 Q 0 2 10 0 0 ~ 0 ~ 4 7 816 5 5 7 9 <br />PS Form 381 1 ,August 2001 Domestic Return Rece'~pt (02595-01.M-250t <br />