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CPe z <br />vLs <br />~' ~ ~~ <br />~~~~ <br />~ece;~~- <br />ti <br />o, <br />°o Postage: U~~p` $0.58 <br />o certified Fee: ~~~3r~,~.--' $2.65;tmark <br />o Return Receipt Fee: $2.15~ere <br />ra <br />m Sotal Postage & Fees: $5.38 <br />O Sent To <br />- -- <br />'b4reet, Apt IVO.; I ---------°----------------°-----°-- --~- -- s.'c.r7- <br />orPO Box No. 111 ~--- `-`-~ - ~ ---[..1.__L--------------------------- <br />C State, Z/ r <br />- ---- --- I'/ 1, D <br />:~~ ~~ <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 permit's. <br />1. Article Addressed to: 1 <br />y8i~ ~w y, ~ 9~ <br />S ~~i~G~ <br />~ ~/o,~~ <br />A. Signature <br />N ~ i ~f~~ <br />`~ ~ ~ ~~. ~ zzas <br />_-- ~ <br />~,~,,~.: .~ ~ 2 <br />^ Agent <br />g ^ Addressee <br />B. Received qy (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7DDS 311D DDDD 2199 ~ 2774 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-t 540 <br />