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<br />r <br /> <br />l <br />~ <br />J Poetepe f <br /> <br /> <br />~ CertmeC Fes <br />j Retum Recelpt Fee <br />J (EMaeesment Repulrtdl <br /> <br />J Rseblcled DNhery Fee <br />J 1 Raqulred) <br />] psa Fese <br />J <br />~ Nema (Please Prlnf C/eerly <br />7 <br />• SfrNf, Apt. No.; ar PO r <br />J ................................. <br />J <br />i <br />PW1eQe s <br />~ Certmed Fee <br />i Retum Recelpt Fee <br />] (Fndareement Required) <br />~ Ree4kYed Delhery Fee <br />~ (Endareement Roqulrad <br />] Total Pwmps 8 Fess <br />J <br />~ ems (Plsees Print Cleer/y <br />1 <br />Sinst, Apt. No.; o"r~.~f~{ em <br />,Y <br />/~. <br />It t <br />`~ ~~ ~ 3~rwrm~ , <br />1\ Z~~ Ran <br />\(r: ~ <br />^ Complete items 1, 2, and 3. Also Complete <br />item 4 if Restricted Delivery is desiretl. <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. Article Atldressetl fo: <br />`?~c~-r-eic,o <br />~vcr,~ 6 S,s' <br />2. Article Number (Copy from service label) <br />~ PS Form 3811. July <br />A. Received by (Please Print Clearly) ~ B. <br />C. Signature ~ ~ ! . <br />tom'(/) C9'Agent <br />X ///A Oi17fAN/f / ^Addressee <br />D. Is de5ivery~tl/ass tlilferent from item 1? ^ Yes <br />II YES, en r delivery adtlress below: ^ No <br />3. yS.e/rv,ICe Type <br />yq a,ertilletl Mail ^ Express Mail <br />/^ Reglsteed ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ Ves <br />Domestic Return Receipt <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 />4 ^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atltlressetl to <br />r <br />102595-99.M-1 ]e9 <br />A. ReCalved by (Please Pnnt Cleenyl ~ B. Date of <br />C. Siggat~~I I~ I,~ ~I'L` III 1 / I ~ ^ Atltlre <br />X 111~~IIlI I(1'I ^ Agent <br />D. Is delivery address diMerenYfrom item 77 ^ Yes <br />It YES, enter delivery adtlress below: ^ No <br />9 ~, <br />ti ~~ ~ fJ ~ ~/a ~/ <br />~ ,L~ ~n ,,n ~I --e. ~ (/'~ _ 3. ~jS~ef~ICe Type <br />5 ~J~r `~~-~ I `~ D ~ lla 5 / ~ ertilied Mail ^ Express Mail <br />^ Registered ^ Return gaceipt for Merchantllse <br />^ Insured Mail ^ C.O.D. <br />viler) <br />~~/n~ ~M~ 4. Restricted Delivery? (Extra Fee) ^ Yes <br />~_. .. .. S+"..`r..J ... <br />2. Article Number (Copy Irom se~ic~ labeq _ .. --, ~-• <br />r <br />PS Form 381 1, JUIy 1999 Domestic Return Receipt <br />