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~,~~~~i iP`~D~ri~~--- ~^ ~~ ~~ ~//~ i1~~- Day <br />^ Complete items 1, 2, and 3. Also complete <br />kem 4 if Restricted Delivery is desired. <br />^ PriM 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 Addre~ to: <br />Fo~PT i~/a~c~~/ <br />r°o a io ~ o <br />Ff07 p ~ <br />A Si9natu <br />X ^ AgerR <br />^ Addressee <br />B. RBceivedrh~ (Pn'nred Name) C. Date of Delivery <br />G /"! /f~BY' d 3576 Ld <br />D. Is delivery address different from hem 1~ O Yes <br />If YES, emer delivery address below: ^ No <br />3. Service Type <br />D Certified Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Deliveryt (Extra Fee) ^ y~ <br />2. Article Number ' <br />(Fiansfer lrom seMq 7002 2410 0005 9145 7324 <br />PS Fonn 3811, August 2001 Domestic Return Receipt tozsssoz-M-t Sao <br /> .~ <br />S ~ a <br />m .. <br />r` <br />an <br />s @~ <br />.R <br />D' <br />Postage <br />S .7 <br />~ Certlflad tree '~ ~~ ~`~ _i,~ <br />• <br />~ <br />~ <br />~ Retum Recbpt Fee <br />(F}dorsemeM Requlrod) / / <br />! <br />~ r'+ <br />- <br />/ ~.R~ ' <br />C~ <br />~ RestrktBd OeMe~ryu Fee <br />wsamam R 4ed I <br /> <br />~ ~ C <br />~ <br />~ <br />A <br />R <br />S <br />ru <br />Total Poatepe a Fees <br />$ ~ <br />' <br />''J/ c,G ~ <br />7 <br /> d~~ , . L % <br />N <br />:9N_ ~d d o7D, <br />