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^ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 it Restricted Delivery is desired. X <br />' <br />^ Print your name and address on the reverse / <br />so that we can return the card to you. g. Received <br />^ Attach this card to the back of the mailpiece, , <br />"~ <br />~ <br />or pn the front if space permits. ~ <br />1. Article Addressed to: <br />~vroroy C o ~oot~/ <br />/ ^ Agent <br />" '/ ^ Adtlressee <br />., C. Date of Delivery <br />D. Is tlefivery adtlress different from item T?~"res <br />If YES, enter delivery address belo : ^ No <br />3. Service Type <br />(~ Certified Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />A. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(trans/er from service labeq 7 0.0 2 1 0 0 0 Q D Q 4 7 818 5 517 <br />PS Form .38~ 1, August 2001 Domestic Return Receipt <br />102595-01-M-2509 <br /> <br />