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^ Complete Rems 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 ttre card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Ln..~ ~,ca Fasw~,a..d (Za.nc.Q.~l.IC <br />13'5E)1 Ce. CL~• 33 <br />'I~a~r-ve.A iCol~ ~.dp <br />8 Q~ <br />A. Si nature <br />Received by~ (P 'nted Name) C. Date of DeIN <br />Is delivery atldress diRerem from ttem 17 V Ye; <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~.Cart~ed Mall ^ Express Mall <br />^ Registered ®-He[um Receipt tar Metchand <br />^ Insuretl Mail ^ C.O.D. <br />4. Resmcted D81Ner/T (Fxtia Fee) O Y~ <br />__ _ 2. ArtlueNUmber 7005 182 0007 5611 4294 <br />(rians/er /rom serv/ce labep <br />PS Fonn 3811, February 2004 Domestic Retum Receipt toussmt4-' <br />~~ <br />CERTIFIED MAILT,., RECEIPT- ' <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />~. <br />.~... $ •.4i ~, <br />~ <br />O <br />~ Cenifled Fee <br /> <br />R <br />N <br />R <br />l <br />l F ~ S <br /> <br />~ e <br />m <br />ece <br />p <br />ee <br />(Endoreeme,rt Required) <br />Z~ S <br />1 e <br />O <br />ftl <br />m Resldcled l7aWery Fee <br />(Endoreemem Requiretl) <br />---- ~ / <br /> <br />U'' <br />~ Tctal Poeteae 8 Fees dd.. <br />y ~. 2 ( <br />u'1 <br />p <br />o <br />rv Sent io <br />_ ~~- <br />3nee <br />A <br />" <br />~ -- -. . <br /> er, <br />a <br />.i <br />orPO Bw Na. <br />~~501 <br />~ ~ <br />~ <br />b <br />. ~3 <br /> -. <br />- <br />_ <br />_ <br />- <br />~, pia: a <br />a,a,. coloredQ <br />:,, „ ----------------------------- <br />?lp$Z3 <br /> <br />