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. . <br />Complete items 1, 2, and 3. Also complete A, Signawre <br />~ ^ <br />item 4 N Restricted Delivery is desired. Agem <br />X / <br />Print your name and address on the reverse C~ ^ Addressee <br />so that we can return thB Card to you. g. Received by Pdnfed Name] C. Date of Delivery <br />Attach this card to the back of the mailpiece, <br />` S^r rt <br />or on the front if space permits <br />. di <br />f <br />f <br />k 17 ^ Y <br /> D. Is deWery adtlrass <br />f <br />erent <br />rom <br />ern <br />Artlcle Atldressetl to: tt VES, errter delivery address below: Q No f <br />~~ ~~ ~ ~ ~3~~r~/ 1 <br />e ai3 -~er~zk <br />S~ I <br />. ~ <br />// <br />~1oD/n !OZ ~ 3. mce Type <br /> .erti(ied Mail ^ Express Ma(f <br />n - <br />/vo <br />" ^ Registered ^ Rewm Receipt for Merchentlise <br />/ <br />Gyl v <br />.~ <br />v~ (~. ^ Insured Mail ^ C.O.D. <br />~~ ~~~ 4. ResMcted Delivery? (ExOa Fee) ^ Yea <br />:. Article Number <br />(Transfer from service iebeg 7003 0500 0001 9355 6262 <br />'S Form $811, February 2004 Domestic Return Receipt tozsawz-M-tsao <br />~ ~ r . . . . <br />t Complete items 1, 2, and 3. Also complete A. signawre <br />item 4 if Restricted Delivery is desired. _ ~ A9ant <br />t Print your name end address on the reverse dresaea <br />so that we can return the card to you. g, Received by (Pdnted Name) C. Data of Delivery <br />t Attach this card to the back of the mailpiece, <br />or on the from if space permits <br />. <br />^ Y <br /> es <br />D. Is delivery ed~ess difeent from Rem 17 <br />. Article Atldressed to: If YES, emer delivery address below: ^ No <br />~Cee~ T Ddtor 3 ~,r!~ <br />I <br />5 <br />~ <br />~8' <br />3~' L' <br />~ <br />. <br />. <br />/ <br />~ <br />lt~r! <br />L` <br />~ s. ~caTypa <br />Q <br />(~~ <br />/c Certifkd Mall ^ Express Mail <br />¢ <br />~ Registered ^ Re[um Receipt for Merchentlise <br />/ <br />O D 7~ ^ insured Mall ^ C.O.D. <br /> 4. Res[dcted DelWeryt (Exha Fee) ^ Vea <br />'. Article Number 7pQ3 QSQ Q 0001 9355 6231 <br />(Tiansler from service labeq <br />'S Form 3811, February 2004 Domestic Rehm Receipt rozsasuz-xtitsao <br />^ • ~ . . . . <br />~ Complete items 1, 2, and 3. Also complete re <br /> <br />item 4 if Restdcted Delivery is desired. ( <br />~ Print your name and address on the reverse ^ Add ee <br />5o that we can return the card to you. . Received try (Pdn e) C. Date of Delivery <br />( <br />~ Attach this carl to the back of the mailpiece, <br />or on the tmnt if space permits. I <br /> ^ V <br />I <br /> es <br />D. Is delivery address different from item 17 <br />. Article Atldressed to: If YES, enter delivery edtlress below: ^ No I <br />~w~-d a~ /l~ <br />~' ~h <br />~ <br />5 G'4~9/ Co , .e~1 /ff1 <br /> i <br />n <br />~{~Lff C. 0 3. Ice TYPa <br />fyG r7~ CeRifled Mail ~ Express Mall r <br />D ! Registered ^ Rewm Receipt for Memhandise I <br /> ^ Insured Mail ^ C.O.D. 11 <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />I. Article Number <br />(Tmnsler horn service <br />7QQ3 0500 0001 9355 6255 <br />tozsesaarb-isac <br />'S Form 3811, February 2004 Domesdc Return Receipt <br />