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ti --~ <br />m <br />m <br />-° Lfd(E GEORGE, q <br />lJ] Postage $ <br />r <br />Q- Certi/ietl Fee <br />r.. Return Receipt Fee <br />~ (Entlorsemem geoulretl) <br />~ Restrictetl Delivery Fee <br />O (Entlorsement Requiree) <br />~ Total Posfaye & Fees <br />m ~cipienfS Name (Please Pr. <br />Q' Street, slot. Np/M; ~u/r~-Po Box N~ <br />c;~i' 9rP" '"'Ii~4! <br />0.34 , <br />~' 10 O ~ Po <br />s <br />t <br />m <br />ark ~ , <br />1.50 ~ <br />r~ <br />/ <br />/ <br />~ ~~~aaF <br /> erk: KTPTKQ <br /> ~t <br />) <br />~ <br />3. ~/ . <br />/ <br />~~ <br />Nd1~~~0.bRQ~ <br />`~ cz.k ~e. G Q o r 2 ,~C1 <br />~r tit <br />. .., • .. <br />^ Complete items t, 2, and 3. Also complete <br />item 4'd 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: 1~~ <br />doe I ¢ marcJa. rte' /,v2{f, ~'; ny <br />1 ~f o9 Mqq~~a+c,~-k Qf +~ <br />g'08~~ <br />ga <br />Received Iry Pant B. <br />4RGRRE7 YuvHKi <br />C. Sig ature <br /> <br />F ~ ^ Agent <br />~ <br />7 ^ Addressee <br />D. Is del' ery ddress d'Aferent lrom i I? ^ Yes <br />If YE er delivery address Celow: ^ No <br />3. Service Type <br />^ Gertifled Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResVicted Delivery? (Extra Fee) ^ Yes <br />2. Micle NumNer (COPY Imm service IabelJ <br />PS Form 3811, July 1999 Domestic Return Receipt 102555.00-N-0552 <br />