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<br />~' <br />o WSTCLIFF~, C 8!~5 <br />' <br /> <br /> <br />fL Pos:a9e _ <br /> <br />S ~/. r' c <br />ch <br />~ <br />;`tir T.jj;~~~jj0 <br />S <br />~ ~w ~ ~~ <br />CartlHed fee <br />iry ^ c , <br />. <br />~ Return Receipt Fee <br />(Endorsement Required) ], .d L (^ 1 f . P j <br />L lJ '/ <br />p <br />O <br />p Restricted Delivery Fee ~ !/ <br />Clerk:; Y.FPl6Xt~ <br />p (Entlorsement Required) / <br /> pp <br />4 <br />$= /p <br />~ <br />' <br />.~ <br />Total Postage & Fees <br />~ . <br />~ <br />p ' <br />?!}/ <br />USPS~ <br />~' or PO Bos No, <br />~ C%ty, Slate, IIF <br /> <br />^'Complete {Ferns 1, 2. and 3. Also complete <br />' "item 4 if Restricted C)elivery 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~th0 back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />CuS'I'~'r Cc~urJ~y <br />Sd~ <br />f?o. 3oX iS~ <br />WF~~~~'~~i C~ 4;r-o~~ <br />A. Si ture <br />~~ ~~~~ ~~Agent f <br />4 .t t AP Addressee <br />B. Received by ( nted Name) ~ C. Date of Delivery <br />D. Is tlelivery atldress tlifferent from item 1? ^ Yes <br />If YES, e~terdelivepr address below: ^ No <br />'' °~ ~; ~~ <br />( ~- ' <br />3. ice Type ~::~ ~.., <br />^'Ceitified~_ail ~] ~ress Mail <br />^ Re ~islered Return Receipt for Merchandise <br />^ Insuredl'fv{a~ C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Ves <br />2. Article Number - - <br />(rianslerlromservicelabel) 7001 1940 000 5342 X989 <br />PS Form 3811, August 2001 ~ Domestic Return Receipt 102595-01-M-2509 <br />