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UNITED STATES POSTAL SERVICE First-Class Mail <br />~. <br />Postage & F®es Paid <br />USPS <br />Permit No. Q-10 <br />• Print your name, address, and ZIP Code in this box ~ <br />1 a3s ~ emu, ~ <br />~ ~ <br />~ ~ <br />o SENDER: <br />•o ^Complete items 1 and/or 2 for additional serNcea. I aISO WISh t0 receive the <br />• ~ ^Complete items 3, 48, and 4b. <br />ar ^ Print your name and address on the reverse of this form so that we can return this following services (for an <br />~ card to you. extra fee): <br />^Attach this form to the horn of the mallpiece, or on the bads if space does not ~j <br />' ~ ^ Wn'tei Return Receipt Requeated•on the mailpiece below the amide number. 1 • ~ Addressee's Address ~ <br />~ ^The Return Receipt vrill show to whom the erode was delivered and the date 2• ~ Restricted Delivery ~ <br />~ delivered. <br />c 7 2 4 Consult postmaster for fee. ~ <br />3. Article Addressed to: 2 5la O ~' <br />a ~t~~ -~ ~ ~-~', ~' ~~ X002 9733 6081, ~ <br />b. Service Type <br />j l ~~ ~ ~ ^ Registered Certified ~ <br />~I~ ^ ExpressMail Insured ~ <br />^ Return Receipt for Merchandise COD ~ <br />~~ 7. Date of Delivery ~.- ,o <br />t~C o . <br />5. R ceiv~~ By: (. Pr~'nt Name) ~ 8. Addressee's Address (Only if requested ~ <br />and fee is pg~d) W <br />'v/ ~ ~~ ~~ <br />c 6. Signatur • (Addy ee or ge ~i ~:~~~ (! ,~ ~~~;~~ ~ <br />~ ~~ <br />a ~ ..~,~ , <br />PS Form 811, December 1994 tozsss-s~-e-ot~s DO~p~}~ <br />,~.::•1 <br />