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l <br />~ /. 1 `. <br />p'i ° ~ ~~~ <br />~1 J 4 f,i•i_t I Aa ''-l <br />CL Po S.__a ~ c ~/ <br />S ~ 'I - <br />~ CrS:ed Fea ..wU F ~ .-~ <br />-,. -„ <br />p Res:rlcte^ DeGVery Fe: <br />p (EndorsemeN R'Guir=a) __ _ I <br />p Total POS:aSe$Fees S 4~~r3 ~`y ~''.j•.i{i <br />~ ~~~ - <br />'~ ... ~/fr¢Q, ~ l!J(Gu (1 WMIryrSSO.//62f <br />~ Street Apt. No.; ~+ <br />O;cr PO BOx NO. !!~/~/~~/ Sl..'_)...,,.y~.!~TP __~~~._.._........_ <br />p l ........__..... .?r <br />Clry. Ste[e, Zlpi J <br />ftii I[)rdLCCiv 2rdn I-il ~/n~G <br />^ Complete items 1, 2, and 3. Also complete <br />.item 4 if=fiesEricted 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 the back of the mailpiece, <br />or on the front if space permits. <br />1. Adicle Addressetl to: <br />~{o l M ~, a ~~~, Su ~Te 20 ~ <br />~a~~-seNbuac',J Co S+,ogq <br />8. Received by (Printed Name) C. Date o(Delivery <br />D. Is tlelivery address different from item 1? ^ Yes <br />If VES, enter delivery adtlress below: ^ No <br />3. Service Type <br />'Q Certified Mail ^ Express Mail <br />O flegisteretl ^ fleturn Receipt for Merchandise <br />^ Insured tvlail ^ C.O.D. <br />4. Restricted Dewery? (ExGa Fea/ ^ Yes <br />z. ArtmleNUmber 7QQZ 194Q QQQQ 5342 1QQ9 <br />(Transler lrom service label) <br />PS Form 3811, August 2001 Gomesnc Return Receipt 102595-o1~M-2509 <br />