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f i~ \ <br />! , ~ -~+ <br />a ~ <br />.» <br />r~ <br />I <br />L <br />' ~ <br /> I i, <br />l I ,iFaT ~T ~'°,i ~~ti:~ <br /> <br /> <br /> `i r., <br />. <br />~ <br />'i <br />. <br />1 <br />~ R`.ura r__- ' Hs~e <br />; <br />l~j <br />1 <br />~ <br />' <br />o ri2r':~::r:rr.SKr <br />= ! <br />` <br />O IEness~:. <br />_ct Aecwreo7 • ~ <br />~ <br />~ To[al Pasla9eA Fees p <br />S 4"d ~~---'~ i~ <br />2'-~~~'~°~~ <br />s <br />=~ <br />T , <br />_._ <br />r <br />~ ent 7c __.... <br />~ ~ S;re=!, Apt. Na.; //~~ yyeA// pp~~ ~~ <br />Q I or FO Sox flc. VSO ~ ~. ~fL O[~G~ ~j q <br />~`/'(Jl . <br /> <br />b r ...:....: ...._.....` ............... _..._. <br />Gl~, S are, ZIFa <br />r~ l,~J.4-LScvAr~¢G _ --...--_._-. <br />__....... <br /> <br />/FJ P,lOS9 <br />^ Complete items 1, 2, and 3. Also complete A. Signature , <br />nt <br />' ^!~ ' ^ A <br />~ <br />item 4 if Restricted Delivery is desired. ge <br />~ <br />, <br />X ° <br />^ Print your name and address on the reverse ~ ~ ^ Addressee <br />so that we can return the card to you. e. Receivetl by (Print 'Name) C. Date of Delivery <br />^ Attach this card to the back of the mailpiece, - q <br />i <br />~ <br />/ <br />I a' 3i- ~' y <br />or on the front if space permits. f? e <br />i L!~ 6 <br />~ 7 <br /> ^ Y <br /> es <br />D. Is delivery address different hcm item 1? <br />1. Article AtlC:essed to'. <br />If VES, enter delivery address below: ^ No <br />UQ~~2 ~u~~'.tNa SCIJ <br />(00 <br />~ S. I~L'i362 i ~t~E. <br />''AA <br />Y V ~C LSGr(,J UQ~ (~ Q <br />Y ~ ~ ~ ~ (J ~ Q~ 3. Service T/pe <br />~ Certified Mail ^ Express Mail <br /> ^ Registered ^ Return Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> a. Restricted Delivery? (Ex;ra Fee) ^ yes <br />z. Art;claNumbe` 7p01 194 D0~0 5342 1016 <br />((rans`er /rom sarvice IaSeQ <br />P$ Form 38~ ~ , AugUS[ 2001 DomeSic Psturn Receip; 102595-OLh42509 <br />