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^ Complete R' rris 1, 2, and 3. Also compleR~ "~ - ed by (pease Prtntflea <br />item 4 d Restdded Delivery is desired. ~ Q (~ <br />^ Print ur name and address on the reverse <br />B. Date of Deliver l <br />yO c. sigme[u <br />so that we can return the card to you. ' <br />^ Attach this card to the back of the mailpiece, X ^ Agent <br />or on the front ff space permits. ^ ~~ <br />D. Is delivery address dMaem Irorrt Nam 11 ^ Yes <br />7. ArtkDle.Addressed to: m YES enter delivery adNass below: ^ No <br />:fib &n hem `~ ~arc,le n " ~e ~ <br />013 ~ 3 ~ sh t ur. ~~0`. Q ~ ~ ~i~~`.. <br />/~~~~ <br />11 ~6l~LG ~0~ / ~~ ~ ~ 3. Servke Type 9 <br />>. ~ Cett(f(ed Mall ^ <br />`~'~ lZ_ ~ Registered ^ R pll flan <br />^ Insured Mail ^ C.O. C~ <br />4. Restrkted Oelherl? (Extra Fee) ~` ^ Yes <br />2. AAicle Number (Copy lrom service label) <br />ZD 3a ~ b ne n / 5,~.s a ~ G,3.~ <br />PS Forth 3811, July 1999 Dornestic Return Receipt w2sssas-LFnas <br />to <br />m <br />..D ~ 1 0 e <br />m <br />~ Postage $ ~• '~ ~, <br />DN.., CaNaed Fee ~~ ~ '/.: / ~~'( \ ~~ <br />~ Return Receipt Fee _ Z ~ ` I Re,e \r <br />p (Endasanent ReQU4eC) ~1 Qn I <br />^ Flaseitted DaMery Fee \ \;~, / <br />p (Encasement ReQuleedl l <br />N <br />fU Nu 7Pleeca Pdnf Clearly) (io Oe complsrea Dy mslbQ <br />P. Street Apt No.; or PO Bor Na. <br />~ City, tare, LP 0 1 1 1 /1 g '] S I Z <br />~Q~L0.1 Iv /4l <br />:,~ <br />