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By: APPLEGATE GROUP, INC.; <br />/:9i <br /> <br />ICW Fr ~ Iii/ <br />Apl rae <br />Ia[ulnol <br />_1 • %~'~ <br />vwy Fx <br />auwroe) <br />Iii Faes $ ~~. ~!~ <br />~,~..:-~r~~.:. fir.....---~ <br />~.. <br />eo 803/ <br />3034526611; <br />Apr-5.02 11:42; Page 315 <br />O/- fp/ <br />antl 3. Also complete a.Sigrwkya <br />elivery le deNrsd. <br />x <br />edtlrcss bn ale revBrse <br />n th6 card to you. <br />ho back of the mtvlplece, B. ReceNOd by (Prinmd <br />Ice pcrtnlta. <br />' 0, le dolhery AddteSS dll(efi'nl <br /> If YES, an6r dePvey eddroee <br />r <br />N~ <br /><:t, <br />~v,,.~ <br />~1C'rf <br />3. Barvioe Type <br />7,`•~,;Tr~ ~1.C,arrrsed Meil ^ FSxpreea Mall <br />^ fleplstere0 Li Ratum Reaolpl for Maiahelgiee ; <br />^ rmleed Meu p 0,0.0. <br />a. Fe.trictea (knveryf (E><tra Fcrl ^ yes . <br /> <br />~ ' 1, 2, erld ~. AISD eOm(J18te <br />Oelhlefy IS tl891fCtl, <br />e and addroea an the rovolno <br />_ i slum the card to ypY. <br />~~r ~ ~,~ b SO the back bf the mallpisco, <br />_ : if apace pcrtnits. <br />ro518Qe 5 ..~_, ~'W.RUfliliG`+"\ dto: ... .. ..._ <br />.a, ~~` _ <br />irwd Fee -+ • / tl z`A ~~rx ~ I((~y' YI1'L'LY't 41~P / r't~57 <br />bpulrodl /- i > a /1GrPriciC? <br />very Fatt c~ ~, <br />~a~n.2a1 tivc <br />A nem I <br />^ Apam <br />X D nddroaaee l <br />6. Ree.ilred fy t Pnntod l1 }.- e. wa ar txiw«y I <br />D. 19 delNary atldreas rterent [mm item 7 a ~^eyy ~s <br />IF YE9. enW Jdivwy addnan OOWw: yE No i <br />i <br />i <br />3. Service Typo ~ <br />~Caellatl Mpll ^ Exptsns Mall I <br />~ p•Dkf~{ ^ Ro4an Rccelpr for M~Chaww ~ <br />^ Insured Mall ^ G.O.h, <br />a. Rentrk[sd pe0vary7 (Extra Fuel ^ Yea I <br />i <br />I_.::..:..7ru.~~c. ~ ............................ ~ , <br />L(.tl L~3 ~ey~: vY>~`3~i '~~3N~911Lat'd~~ i G~~ la.J ~r7 I <br /> <br />3 Ili/GL <br />JWgUeI 4001 Oonrfio Ratum heeelpl 1025BS~Dl A,1-eaBB' <br /> <br />1, 2, and 3. Nec complete neNm I <br />~ellvery Is f1esV@d. <br />X <br />S q p,e,,,[ !j <br />and adtlross on the reveree -• <br />{+ E. ' <br />~. <br />Sul L-~ ^ Ad <br />iturn the card 10 yDU. _ <br />. <br /> <br />k, the lsacK o1 the fnailpiace, 0, RCCeIrCO by (Plirlted Name) C. Do[e W t)eBVery <br /> <br />BpaCA Permlle. © / ~n Z <br />Y' <br />,: ~ ~ o. b deuway eddraBS dIBBNnt from hum 17 ^ V~ <br /> II YES. rmlar delivery adarxs below: ^ No <br /> <br />d ~ fT~F'f <br />lj~l ~%(r.~i/ 9. 9ervioe Type <br /> }~. CortMawl Mail O Gprooa Mall <br /> Realatmed ^ Relum Rw.lpk far Merchendl5e <br /> ^ hrourad Moil t7 O.D.U, ~ <br /> 6. Fi¢91nc~o Oellrery? (FXfo Feat ~ ~ <br /> - .. i <br />~8 • :; ~ <br />R <br />CO R <br />I <br /> N <br />, <br />~ <br />yM1i Fx FJC ' l ~~ ~(/ <br />' <br />_ <br />~ <br />rwvhWA <br />m Rwutrem I •7C~ <br /> <br />~i r~"uC <br />< <br /> ~j <br /> <br />Igyeihaa <br />~' a <br />,~ . (I ~/ p7p <br />~ <br />'J <br />Wme a (p Oe Gemp10I00 Dj Indb) <br />-- C~=~ -._.........._.......--- <br />No.: ufrO ew'~,t,. <br />Pa form 3811, August 2001 amevac rtetum FiaCNtn ~' <br />