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`, III Complete items 1, 2, and 3. Also complete A. Signature <br />~ item 4 if Restricted Delivery is desired. X 0"Agent <br />,~,^ ~ ~j ~ ~~ ' ~ ~ ! ~ Print your name and address on the reverse ~ Addressee <br />`T ~ so that we can return the card to you. <br />s / Attach this card to the back of the mailpiece, B• Received (printed j C. Date of Deli: <br />or on the front if space permits. s. C ~ -r' ~ CF <br />1, Article Addressed to: ~ D. Is delivery address different from Item 1? O Yes <br />If YES, enter delivery address below: ^ No <br />~~~2~~.iL~ ~~ . ~~,~„7~ ssi~ <br />I <br />-~~'-- 3. S Ice Type <br />~L ~' JN,(" ~~ • ~~"Z2 ~ertified Mail ^ Express Mali <br />I: <br />'~ ~ ^ Registered ^ Return Receipt for Merchandise <br />^ "Insured Mail ^ C.O.D. <br />4. Restricted Delivery') (Extra Fee) ^ Yes <br />z. Article Number 7 0 0 6 2 y 5 D ODD 2 8 513 2 6 0 2 <br />(ifansferfromservi,,o,cw,r <br />PS Form 3$11, February 2004 Domestic Return Receipt <br />`; ^ Complete items i, 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 />,i 1. Artlcte Addressed to: <br />~~ f1 /+ _ .~. ee <br />~~~- ~ ~:~pc.l-)JAI J ~ I L l,~-v~kv, u,a, <br />11 y j 5 N . Cvt~ J}Y~ ~3 <br />t fDJA.T CQX ~ ~~ ~~. g'~"2 ~ <br />9 <br />t <br />102595.02-M-1540 <br />^ Agent <br />B. Receivet~by <br />C. Date of <br />D. Is delivery address different from kern 1? Y <br />If YES, enter delivery address below: ~lo <br />3. oe Type <br />•CertHled Mail O Express Mail <br />egistered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (F_xtra Fee) ~ Yes <br />2. Article Number 7 D D 6 215 D D D D 2 8 5 7, 3 2 619 <br />lrnnsfer from service fabe~ <br />Domestic Return Receipt t02595.02•M-1540 <br />PS Form 3811, February 2004 <br />l <br />