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<br />^ Complete dems 1, 2. and 3. Also complete <br />dem a if Restncted Deiwery is desired. <br />^ Print your name and address on the reverse <br />so that we can return [he card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />t. Ancie addressed w: <br />.? ~(3~~ <br />~~W.V, r <br />~, i~ , <br />- ~~ ~ Y <br /> <br />A. Received by (Please Pnnr CleanyJ B. D e of D Irvery <br /> B~.,ra,_ li ~~-_., ~z,2~ci <br />- <br />C. Signawre _ ' ~T <br /> <br />X }/~~ / ~ x~ <br />~ 1 <br />~ ^ Agent <br /> W~/~,L <br />L J ^ AtltlreSSee <br />D. Is tleiivery atloress tliflerent Iro item ~? ^ '/es <br /> u YES. enter tlehvery address below: ^ No <br />7. ~wSe//^^""ce type <br /> ~~Qenilietl Mail ^ Expre55 Mail <br /> d Registered ^ Rewrn Receipt for Merchandise <br /> ^ Insaretl Mail ^ C.O D. <br />A Restncted Delivery? (Extra Feer ^ Yes <br />2. Article DWmbeyCxo J r~Od00'e9 S'~ ~ ~ ~~CJ <br />P$ Form 3811, July 1999 Domesnc Return Receipt m2595ao~M~W52 <br />G~- i ~-~ <br />