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~.t. ~~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 'rf 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 cartl to the back of the mailpiece, <br />or on the front if space permits. <br />1, Article Addressetl to: <br />PPra~o vgsqu~~ <br />~~D f.~oy ST"o,v~ <br />// S'S3 lr//l'~ oc o <br />~~~~~N ~. <br />f~o~a~ <br />~-/ 99 ~-/o ~' <br />7-i~-~~ <br />A. <br />^ Agent <br />B. Eeceived by (Pooled Nerfie) ~ C. Date of <br />Is deliveFp$tldress different from item 1? V Yet <br />It YES, enter delivery address below: ^ No <br />3. Service Type <br />~ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ Ves <br />2. Article Number <br />(i2ns/er from service lad 7 0 0 2 2 410 O O p 5 914 5 4 9 3 4 <br />PS Form 3$11, August 2001 Domestic Return Receipt to25s5~a2~M-tsao <br /> ~. <br />S <br />m ~ ~ ~ <br />Q: .. ~ <br />s <br /> L1lVIG~Ih~Tia~,f2~5 ~ <br />°" vara„ : <br />~, <br />o <br />ce~uaed Fe. <br />- - -- -~ _ <br />~ <br />o <br />p <br />Retun Redept Fee <br />(EMSreerriera RepWred) <br /> <br />~ ( ~.;. <br />~ ~ Sdii(r}e C <br />. <br />~ <br />~ <br /> ~ °e'"e~~ m `~ i JUL <br />~x <br />m <br />fiJ <br />1Elel Postage 8 Feae <br />$ ~~ ~ = <br />..~ ~ ~ <br />PtJ <br />' ' ~7 <br />o <br />t` a <br />,,~„ ~. . <br />. _.._-__ .__ . <br />° <br /> S <br />rrae(gpt. Na;/ > Y e/ ~ <br />wPO BOx Na ~ IiQC 7. _ rJ <br />