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<br />(~,(_ 20 d D - ~7 D <br />Q~ri --`~1V~ llri~iNe~ I.I~- <br />U Zr~(( Irk QtraC~ <br />o ~~;~ (~...~, <br />1 <br />nlyd~l.v/~-t„ ! UV suP~Gttwr~' 1 <br />~~~ <br />R~Q ~~~ <br />_.,~ F~01d°~ Georo9i <br /> <br />~, <br />m <br />S ~- <br />o <br /> <br />..0 <br />Poslape <br />E • ~~ • _ J <br />~ ^ <br /> <br />B-' <br />~. <br /> <br /> <br />O ~ <br /> <br />ar,i. <br />~ CeM1Hletl Fae ~ <br />I1J <br />Re[um Receipt Fae <br />(FStlarsement Requirxfl I • ~ ~ PaHt~erk <br /> <br />~ / <br />~ <br />~ Restmted OeNVery Fee '\ S <br />~ <br />O (Entlorumenl Required) ` <br />_J <br />O Total Poetape 8 Faee @ <br />.p ~_ 9 <br />ru <br />fL <br />m Neme (Pie se Print Clearlyf (TO M ca lsted by mailed <br /> (bl'l fl ~~' <br />Q^ Street, qpt. o.; or PO Bo>r No. <br />o <br />t• ........ ....... ... ...... <br />Clfy, Sfem, ZIPS 0 ('~N~ o <br />NJ GQ ~( .. ... ........ ........ <br /> :rt <br />. .. <br />^ Complete items 1, 2, and 3. Also complete A. ec ed y (Please P 'nt featly B. D a os Dar~very <br />item 4 if Restricted Delivery is desired. ~ <br />^ Print your name and atldress on the reverse <br />so that we can return the card to you. <br />C. Ignat r <br />~ ~' <br /> <br />^ <br />^ Attach this card to the back of the mailpieoe, X <br />~~1 Agent <br />or on the front if space permits. -1.(~ VVV ^ Addn:ssee <br /> <br />1. Micle Addressed to: D. I delivery address dfle t fro em 17 ^ Yes <br /> <br /> <br />fi Ii ES, enter delivery adtlrass below: <br />~r~ oL. n <br />( <br />t E~~ ~~tG ~? ~,',ali d <br />~ <br />° ~ ° 3 <br />l s°~ <br />~ !' <br />k~o , co ss <br /> 3. Service Type <br /> ~"Certilied Mail ^ Express Mail U $ P S <br /> ~ Registeretl ^ Return Receipt fo r Merchandise <br /> ^ Insured Mad ^ C.O.O. <br /> 4. Restricted Delivery? (Esfra Fee) ^Ves <br />2. Article Number (Copy from service label) <br />~o5g 3a2o oaoa gySG [7y~5 <br />PS Form 3811, July 1999 Domestic Retum Receipt 102595~99~M-1]09 <br />