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<br />^ Complete items 1, 2, and 3. Also complete <br />item S it Restricted Delivery is desired. <br />^ Prlnt your name and address on the reverse <br />so [hat we can return the cartl to you. <br />^ Attach this cartl to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addre55eo to: <br />~~/~~ <br />L:~. <br />~/ ~~. <br /> <br />A. Recemed 6y IPlease Pnnt Cleary) B. Dare of Delivery <br />~' 3-C <br />C. Signature <br />X ~,/ / //.,-0- Ageni <br />~'~'` ~~ ~ .~'/ ~/4J Addressee <br />D. Is tlelwery a`1'S°' ddlerent fmm item t~ ^Ves <br />II VES, enter tlelivery atldres5 below: ^ No <br />J. Service Type <br />ertifietl Mail ^ Express Mail <br />Registeretl ^ Return Receipt far laerc7antlise <br />^ Insured Mad ^ C.O.D. <br />a, Restncted Delivery" (E.rra Fee) ^Ves <br />2. Amcle Number (Copy from servree (doer >]2 U G 00 ~ ~~G "1 C~~j ~i <br />7oFS> <br />PS Form 3$11 ,July 1999 Damesl¢ Return Receipt t02595~00~M~0952 <br />Pa~3 ~,-~ <br />