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m ~a ~~ <br /> <br />~ ~ ~ DMC <br />u'7 Postage <br />..0 <br />il'7 Certified Fee <br />ra <br />0 Return Receipt Fee <br />(Endorsement Required) <br />0 <br />O Restricted Delivery Fee <br />(Endorsement Required) <br />~ Total Postage $ Fees <br />I <br />~ . <br />S t To J <br /> <br />O <br />O ~d.Cl1G_~C2 ".. <br />~tfe~.f, L Ma-prPO o, <br />LG <br />- - -----1'~A <br />~ C~ <br />/~ S ate, ZIP~4 -""""" <br />.~--- <br />~S~ Pos k ,; <br />OCT i ~~~, ,`, <br />29 ~= <br />2004_ ,~~~ ;t <br />nrucie dressed to• ' ~ D. Is delivery address different from item 1? O Yes <br />~~r / ~~ ~~~/SQ ~ If YES, enter delivery address below: ^ No <br />/Q~'~~L? / /lt r <br />2 2 ~ _T,~~s7~rj ~ L~ <br />~ 4 /'/` <br />~~PI~S~) J/ ~ 3. Service Type <br />~~~-~~!!! / ~ (.~ ~/ ^ Certified Mail ^ Express Mail <br />~j`C.. ~ ^ Registered ^ Retum Receipt for Merchandise <br />l7 Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number ^ Yes <br />(transfer hnm service labeQ ~ /j <br />PS Form 3811, Augusf 2001 !~ ~~ ~~ <br />_ Domestic Return Receipt <br />_ 102595-02-M-1540 <br />-----_ <br />^ Complete items 1, 2, and 3. Also complete A. signature • • , <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse X <br />so that we can return the card to you. ~ A9ent <br />^ Attach this card to the back of the mailpiece, ~ Addressee <br />or on the front ifs B• Received by (Printed Name <br />pace permits. ) C. Date of Delivery <br />