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S <br />..a <br />S <br /> <br />~ Postage <br />lJl $ <br /> <br />~ Cetlihetl Fee <br />rL \ <br /> <br />r~ <br />4 U <br />~ Return Receipt Fee ~~ <br />~ (Entlarsemen[Requeetll S <br />O Res[nctetl Debvery Fee <br />O (Entlorsement Raquiretll <br />~ Total Postaps 6 Fees ,$ 7 <br />r <br />"'~ <br />rl Sent io <br /> ~ <br /> <br />~.J. -~ec.r.... c <br />-- <br />O <br />O Streep Apf. No.: or BOx Ne. <br />~ l'{ <br />o <br />r` ---------------------- ------------ -- <br />Pry Stare, ZWd ( <br />^ Complete items 1, 2, and 3. Also coTlTblete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to [he back of the mailpiece, <br />or on the front if space permits. <br />1. Article AddlIressed to: <br />Cl~ve4cr s~Lti~s <br />Here. <br />r~ <br />ep ~ l.s(~ <br />A. Received by (Please Print Clearly) B. Da of D ivery <br />/~ <br />C. Sign e <br />X ^ Agent <br />Atldressee <br />D. Is delivery atldress tliHerenl m item 1? ^ Yes <br />If YES, enter delivery atltlress below: ^ No <br />3. S ice Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ~ C.O.D. <br />4. Residcted Delivery? (Extra Fee) ^ Ves <br />2. Article Number (Copy /m service labeq , <br />~~~ i6 ~ ~o L ~ ~~ , s ~6 y <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />