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<br /> -~ <br />m <br />0 <br />S <br />~ <br />Postage <br />A <br />tl'1 Certifietl Fee <br />rLl Retum Receipt Fee <br />.-a (Endwsemenf Required) <br />~ <br />~ ResMCtetl Delivery Fee <br /> (ErWOrsemani Required) <br />0 <br />r.. Total Postage & Feea <br />,~ Sent Ta <br /> <br />C] <br />v Street Wit. No.; of PQ E <br />t <br />/ <br />j <br />~ a~ <br /> <br />o / <br />om <br />~ <br />~ <br />--. <br />. ~- - - t <br />Ci State <br />jJP+4 <br />~ , <br />:r t~ <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 can 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 />~~ Soi / ~n 5er~a~iDrr ,~is~tinf- <br />!(y ~,'~tiway S~ GUPSf <br />~~~D~ C:C1 ~10~~ <br /> <br />1AN15~ <br />G,:LSiun of Minerah arp ~eobgY <br />A. Received by (Please Print Clearly) B. Datge of v <br />C. Signature /J <br />„ //_ ~ f/ / ^ Agent <br />D. Is delivery address different from item t? U Yes <br />If VES, enter delivery address below: ^ No <br />3. Se ice Type <br />Certified Mail ^t,lExpress Mail <br />Registered [Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcied Delivery) (Extra Fee) ^ yes <br />2. Article Number Copy from service label} <br />7000 m ~o ~o1a s J y4 a3Sy <br />PS Form 3$11. July 1999 Damesgc Retum Receipt ta25e5-oo-M-oe52 <br />