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<br />^ Complete items 1, 2, and 3. Also complete <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 cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atltlressed to <br />/~2gi~ Q/tc/ /~~CLrC/ /~O('~ <br />2BzD~ ~~~w/Qy ~s <br />/T CZ K ~!/'/7 ~ ~Ci <br />~073~ <br />^ Agerrt <br />X ~ ^ Addressee <br />8. ec ed by (Panted Narr/) C. Data of Delivery <br />7-q.o~ ~a <br />D. Is tlelivery address dRferent from Rem 1? ^ Yes <br />If VES, enter delivery address below: ^ No <br />3. Setvice Type <br />f~^tT(Certitied Mail ^ Expess Mail <br />Registered Q Retum Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />4. pestricted Delivery? (Erma Fee) ^ Yes <br />2. Article Numuer ~7 <br />(transfer from service IabeQ /~ (~~ ~oa! sS~a 35~ <br />PS Form 3$11, August 2001 Domestic Return Receipt to25ssot-M-2509 <br />^ Complete items Y, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so Nat we can return the card to you. <br />^ Rttach this card to the back of the mailpiece. <br />or on the front if space permits. <br />1. Article Adtlressed to: <br />l 2~ ~.eu ~e~~r ra / B~c~~ <br />~3i( Sh~~~z 57'. <br />L7~vf ~e~t ('G <br />~D 20 3 <br />A Sign n <br />// ^ Agent <br />X ylll~~f^--Ln e~a.e <br />6y (Printed Name) I C. Date Of Delivery <br />D. Is delivery address tlifierent from item t7 ^ Yes <br />If VES, enter delivery address below: ^ No <br />3. rvice Type <br />Certified Mail ^ Express Mail <br />d Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />6. Restricted Delivery? (F_ctra Fes) ^ Yes <br />2. Article Number ~2. Article Number ~/~r~C//~.7JJ ~ ~~ <br />(Tiarule~ from service label) <br />PS Form 3811, August 2001 Domestic Retum Receipt msssot-rkzs <br />