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^ Complete items 1, 2. and 3. Also complete <br />item 4 rf Restricted Delivery is desired. <br />^ Print your name and address on [he 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 />l ArtArticle Addre~sjsed to: <br />/ ~~ <br />s«,~ .r~; ~y<~r~ ~~~. ~o <br />~~~~ ~G~ `J ~~~ <br />~~~~ ~ , ,1t ~~C~ ST/y~S <br />A, <br />^ Agent <br />B. Received by (Printed Name) C., Date of <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. ~rvice Type <br />ertiUed Matl ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Resmcted Delivery? (Extra Fee) ^ Yes <br />2 Article Number ' <br />(rran5fer o-om seance tabep 70[14 0750 0002 1463 3967 <br />PS Form 3811 ,August 2001 Damesnc Rewrn Receipt tozses~oam~aeas <br />Iti ~ <br />o- .. <br />m <br />m <br />'° <br />s TELLURII~, C <br />~ Postage 3 4.75 UNIT ID: 0501 <br />n~ <br />p Cendied Fea <br />° ~.3 <br /> <br />° Rewrn Reciept Fee <br />(Endorsement ReQUUea) <br /> <br />1.75 Postmark <br />Hera <br />° Roem~iedooevoryFCe <br />~ Clerk: F37FD0 <br />(t.ndOrsemein Regwred) <br />f~ <br />° <br />Tolai Postage 8 Fees c 8.80 <br />,p 06/16/D4 <br />S <br />o sent ro J <br />r- -._._.....__.... .. - ........_._._.. ._.._._._.. -_..... - <br />Sbeep Apl. No.; / /!C, v ~ L/~ <br />or PO Eox No _ (i ~~ /' <br />Ql/c~r~ ~< CCU l s <br />