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I , _ _ , <br /> IISENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> �! <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) R. Date of Dehverl <br /> j item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. C. Signature <br /> ■ Attach this card to the back of the mail iece, ❑Agent <br /> P <br /> or on the front if space permits. X r �-��.._��hddresse <br /> Postal D.As slivery address iXe t from item 1? ❑ Yes <br /> 1. Article Addressed to: <br /> CERTIFIED MAIL RECEIPT I If ES,enter delivery ghdress below: ❑No <br /> (Domestic . rn� rflAry Tru✓vVar� <br /> m <br /> a <br /> r ou{-f Cnxrr\+y -�>CI) <br /> -D <br /> 1415 �twe Carole Y d 5 t 2oi 1 <br /> fl.l Postage 5 ��� 3 Service Type <br /> N 1 <br /> -d !���Q rY1 h!?fi 1 `�j)Y tng5 q r•, .�CertrSed Mail ❑ Express Mail <br /> Cme.ci Fee i, /�. •/ J r l V ❑Registered ❑Return Receipt for Merchandisf <br /> S�,„ L� ❑ Insured Mail ❑C.O.D. <br /> S Return Receipt Foe t,{QJ'- L��l-� <br /> (Endorsement Regwreal •'�� <br /> 4. Restricted Delivery?(Extra Feel ❑ Yes <br /> C3 Reetncted Deinery Fee <br /> I7 (Endorsement Required, 2. Article Number(Copy from service label) <br /> -0 <br /> 0 Total Postage&Fees $ �`' <br /> S <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595 00-M 0952 <br /> m R¢rplenYs Name(Please Pi C.'eam)na Le cnm rend or ma <br /> T' - - <br /> T street,Apt No.or ru/ ao,Nq <br /> Er v'/75 (itLc..C? '.o.c _, �X4_ IOfl......... . <br /> M1 cIK�Stale.ZIP44 <br /> lC, t [�Cr� Ci qg J-9lJL7�) <br /> rsr <br /> SENDER: COMPLETE THIS SECTION M COMPLETE THIS SECTION ON DELIVERY <br /> i <br /> I{ ■ Complete items 1,2,and 3.Also Complete A. Received ass ni Clearly) B. Cqleol Delivery <br /> 1 item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. C. Signature <br /> ■ Attach this card to the back of the mailpiece, Cl Agent <br /> Postal <br /> or on the front if space permits. 'iG •�� ❑Addressee <br /> D. Is delivery address different from item 1? ❑ Yes <br /> CERTIFIED MAIL RECEIPT 1. Article Addressed to: If YES,enter delivery address below: ❑No I <br /> (DomesticOnly; _ <br /> � •, OCrtI CQUrJ�l <br /> �Of4b of Coi 7v �ntrvnls°.lo"R �5 <br /> -/' / <br /> pc ao , -7�35ci8 <br /> nl Pgsiagq 5 SCi 3. Service Type <br /> ru.D >arr 3nA-f �DKINCnS Clo Wtl�� �Certilied Mail ❑ Express Mail <br /> cenmeo Foe — �' I -�� ❑Registered ❑Return Receipt for Merchandise <br /> Reimn Rece,pr Fe ❑Insured Mail ❑G.O.D. <br /> A IEnd.e.mant Requuery r . C <br /> 4. Restricted Delivery?(Extra Feel ❑Yes <br /> CI Restacred D?hvery Fee <br /> O (Endorsement Requirenl 2. Article Number(Copy from service label) <br /> Telel Postage 3 Fees $ F <br /> S p•npienr's N e rPreasa v.,„j'.earn m oe,.qmr eri�m era PS Form 3811,July 1999 Domestic Return Receipt 102595-OOM0957 <br /> m } <br /> eon. .¢:•.,,. �?c �D .rk C c,;nu. <br /> IT' Ir el,APr Jg,or PUoo,f'a^ <br /> Er <br /> 7 <br /> C3 Cdy:Stale.Zl--4 <br />