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Iti <br />p ® + <br />~ <br />CQ I . f i <br /> <br /> <br />,a i_ <br />~ ix4Sta02 1 S G' 7 -/ .~ <br />t /T <br />p riErfdfled Fee ~ <br />p <br />p ~ <br />Return Receipt Fee ! <br />, ?os4mark <br />Here <br /> !Endorsement Fequiredj j <br />~ Restricted L`e;ive~y Fee i <br /> <br />~'I (Endorsement Required] <br />~ Totat Postage R Fees ~ ~ s <br />\ <br /> ~ <br />6 <br />O <br />p <br />~ Sent To <br />~~:~f ~21.~J_Yt.`z. ~ ~= <br />~~'jE..`.k :l,:ro'n~IZVSI. ~S.~T:.:~,1,.1L! ",~ i <br /> Street, pt. No.,. <br />or FO Box No. -~ i.} ~~-.. ~ ~, r ~ ~.: <br />----------------- e a__ _e:-.. ~._._.. ~-- <br />•~ " <br />4 ~ ~.~ <br />-_-_ ~- ---__ ___~_-_~___. <br /> <br />. <br /> City; State, ZfP+9. <br />~irf <br />("a((tr15 ~ <br />`rSL~~ <br /> :i~ i~ i <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 />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. Si flafur$ <br />~ ~ Agent <br />X ^ Addressee i <br />B. Received b ( nted Name} C. Date of Delivery <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br /> <br /> i <br /> ~° :~ <br />// <br />~ <br />3. Service Type <br />_ _ C~Certified Mail ^ Express Mail <br />~4`-) <br />,_-, ~ .i~l P.~'`~ .-- t <br />~ <br />~ ~l `'~i~~ <br />^ Registered <br />^ Return Receipt for Merchandise ~~ <br />` ^ Insured Mail ^ C.O.D. <br /> icted D <br />elivery? (Extra Fee} ^ Yes <br />4. Re <br />s <br />tr <br />7, ArfirlaNilmhar ~UU4 ~~~U rr <br />~7 <br />r <br />7 <br />~~QF~ -~~~~ 48~~r ~ <br />fT2nsfEr from service label <br />'S Form 3811, February 2004 Domestic Return Receipt to25ss-o2-M-t5ao I <br />--- - ~ <br />