~ .....:.
<br />;Y: . ,
<br />. •. ' •'.
<br />...... ~ ~; ~ r r° o ~: a . to ~. t~.,..~..
<br />' ~ ~ ~ P
<br />t a ~ 7
<br />Oe
<br />eaa ..
<br />
<br />
<br />~..
<br />: ",~::~., .::.5,:~;..:~..;,;;.... •,.:.,::~.:.~ •, ..m;~, ~ DertaledFee
<br />.. .. ...'~:.i., ... ... ...., ~ i
<br />.,,;.. .s
<br />• .3a
<br />.,,,: .
<br />,,~` t>:.t:' '.:. ~:~,.. :,~..:.
<br />
<br />~"
<br />1
<br />.. Retain Receipt Fee
<br />' fl.l (9tO4aemas RequRarp ~,,'J V
<br />;'.~`,
<br />Hsm ~r
<br />\~' ~
<br />~ i
<br />~
<br />. ° aeealoted DaNely Pee .
<br />~ ~;~
<br />Q
<br />.
<br />G (Pndaeemmn RegNted) .IJ
<br />~ r '
<br />
<br />
<br />mw POeteeO a Pone
<br />
<br />$
<br />
<br />o'L~
<br />~ y .
<br />. ~.
<br />~ °
<br />\ ~
<br />• ° em rtn e y any ~
<br />.~_. ,
<br />. -....S1I~-1.4.Road._.._..____..._
<br />.-.
<br />'
<br />
<br />~'~~"''' :;,t'y. . a.~. :, Ci:!C,w., . ti
<br />.. .. ..
<br />... , `•
<br />.
<br />.
<br />.. ..
<br />siiesQ~ iSio,v
<br />of PO BOX N4 Flwfa, C.0 81521 ) }'': i'..:.:;n:..:.,., :•'
<br />:, ila« i '....'"...'.~"
<br />s
<br />'. a
<br />.
<br />• G e
<br />r
<br />m4
<br />.
<br />.
<br />.. , e
<br />f
<br />
<br />I
<br />'. ...
<br />e
<br />e e
<br />^ Complete Itema 1, 2, and 3. Also complete •lgn ~
<br />f ^ Aaent ~
<br />`
<br />i Item 4 M ResMcted Delivery Is desired, .,
<br />" . ~ Pdnt your name end eddresa on the reveree / / ^ Aaareeeee ':•
<br />' ~ so that wa can retain the card to you. I ~ ~ c. oats or nelivery 4
<br />\
<br />• ~ ^ Attach thla card to the back of the mallplece, ^1 ~ ,,
<br />or on the front II apace petmlta. :s
<br />l7
<br />D• ~
<br />s `
<br />~
<br />l
<br />I 7. Aruole Adtlreesed to low;
<br />IveN add~eee 6e
<br />^ N
<br />YEa, amar del
<br />a
<br /> ;.
<br />. '': ... `:' • ~ Arvin Jaffiy Leahy
<br />' ~ 816 -19 Road
<br />F
<br />C
<br />81
<br />I
<br />rusta,
<br />521
<br />O
<br />, 3. 6erNce Type ~
<br />.. ~
<br />' I tllfled Mall ^ ExpfBeB M011
<br />;'~ q Reglatered ^ Retum Receipt fcr Merchendlae
<br />. ~ ' ~ ~ ^ Insured MaN O C.O.D. ,t .
<br />' ~ ~ • ~ ~ ~ ~ ~ ~' 4. Reahicted DaINery7 (EXtm Feel ^ Yea
<br />' 4. Adicla Number ' 7t~~ ~ ~ ~ ~ o ~o ~ G ~ gs aay ~ ~'
<br />>..:r,~.,::~'::.:::/,;:'';'•;+;•.~i''::;:::~ (7fena/er from aeMce lebe0
<br />... ....... ...
<br />~: ~ PS Form 3811, Auguat 2001 Domesao Retain Receipt toases.ot.M.zsae'
<br />~I
<br />
|