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~~ Complete kerns 1, 2, and 3. Also complete <br />'.,Rem 4 if Restricted Delivery Is desired. <br />^ Print your name and address on the revE.,se <br />so thaf we can return the card to you. <br />^ Attach 4his card to the back of the mailpiece, <br />or on the~iront it space permits. <br />1. Article Addressed to: <br />U~b ~ c~r~-Q,>tis}~ gyn. <br />D • 30~ t°l~9'2' <br />`p-~rQ d~G <br />_ -- -- `~0~'3 <br />-. ~ti. I <br />Print Gearlf9 ~ B. Date of <br />C. <br />~-~"-"7 ^ Agent <br />~Addre <br />N delrve a dress digerent from item 1? Yes <br />M YES, enter tlelivery address below. ^ No <br />3. Servke Type <br />Mail ~ Express Mali <br />~egist ^ Return Receipt for Merchandise <br />D iiisu~'f Mai ^ c.o.o. <br />~ Re;Qpc~ed (Exba Feel ^ Yes <br />2. ArticleNurtlDer (COpyio"iti 9erVide laba9 r0 ~C .- ___._. __ I <br />70'9 nno ,' 3 ~o$~ .~ Lf <br />PS Form 3811, July 1999 [brtlestic Return Receipt touss,ss-M-nes <br />tT <br />~ r c <br />m <br />rrt Roeta9e a <br />~ CerliOed Fee ~ (%~~ ~ ~ <br />R¢Nm Retelpt Fee ~~" ~ <br />O (Eado-aemem Repuhed) ¢ ~^ ~ blare ' / <br />~ \ `i.. <br />OO (FadasaaentlR~eFee '~ ~n~f j~ <br />o •rotel range a Fee. $ y. L~l a \ ~~ S'~ <br />ti <br />fU Nn' ~}(pleaae Prlnt Clearly) (TO fx nmpNhE ay nMlbrJ <br />Srreal Apt. No.; or PO Bax No. <br />M1 <br />:,r <br />