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~x <br />~. <br />.~ DM <br />~ Postage <br />u7 <br />"'~ Certified Fee <br />m <br />~ Return Receipt Fee <br />~ (Endorsement Required) <br />O Restricted Delivery Fee <br />O (Endorsement Required) <br />~ Total Postage & Fees <br />r `- <br />"~ S To ~ <br />~ ',f ~ <br />O tr _~~N~[ E <br />O __'(lg~r ~_ <br />~ State, ZI +4 <br />~ P ~S <br />i . :~~ ~~ <br />^ Complete items 1, 2, and 3. Also complete A. Signature <br />^ Agent <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse X <br />VJ~bie O~~ ^ Addressee <br />so that we can return the card to you. <br />iece <br />rd to the back of the mail <br />h thi <br />^ Att g, eived by (Pri d Name) C D to f D li e <br />p <br />, <br />ac <br />s ca <br />ace permits <br />or on the front if s - <br />p <br />. St <br />ffe <br />e <br />f <br />li <br />dd <br />d <br />D <br />d ? ^ Yes <br />1 <br />~ <br />d t <br />• e <br />r <br />n <br />rom <br />very a <br />ress <br />i <br />. Is <br />e <br />~- : <br />o <br />1. Article A resse <br />l <br />~ <br />~ <br />~' If YES, enter deli~f~y at7dress below _~\ ^ No <br />Mr- <br />f <br />i <br />~ <br />~~ <br /> <br />ZZ~ 1 u~~`~ ~ ~~ ~ ~ k -.~,~;~~~~ <br />r ` <br />/ <br />(~ y`~l ins v~ ~ ~'e 3. Service Type <br />^ Certified Mail ^ f=xpress Mail <br /> <br />O/ ~ l ^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number // y <br />(transfer firm service label) ~~d ~ Jo / ~ <br />'~~d~ ~ j ~Slp ~j(p ~~ <br />PS Form 3'81;1; A1?~ust 2001 Domestic Return Receipt 102595-02-M-1540 <br />.... y,~ <br />