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<br />^ Complete items t, 2, and 3. AiSG corrptetci <br />Rem 4 h Restricted Delivery is dettired. <br />^ Print your name and address on the reverse <br />so that we can retum the card to you. <br />• Attach this card to the back of the mailplecE <br />or on the front H spac+ permits. <br />t. Article kddrsassd to: <br />f~nirv-C,~ Lvel~c..re SoC.ie.~~ <br />,Sap tit c,;~ ~+, St~i ~-e 2 <br />p-1amcS0.,CU ~IIGI <br />x <br />H YFS, enter aeiwery rddreas DNOw: O Mo <br />9. Service Type <br />,3Z Cert~rad Mal O Express Mau <br />^ Registered ^ RNum Raoaipt for Merrtiandisa <br />~ Urrrrd M.at ~ C.O_D. <br />^ Complete items 1, 2, and 3. Also xmp:are <br />item 4 if Restricted Deivery is desired. <br />^ Print your name and addroas on the reverse <br />so that vre can retum the card to you. <br />^ Attach this card to the pack o[ the mailpiece, <br />or on ttte front if space permits. <br />i . ARiUe ACdn:sEed t0: <br />L~oun>~{ v><C'osf~ 1(~i <br />Ste, (~.; S, c~ ~ I t s a <br />4. F7estrxtsd Delivery? (Eaara .~ ^ Yes G 4. Rcrtrictcd octnraf/1(Extra fee) ^ y~ <br />12 Article Numtxr z Artl,-io Numoer 1OC"'1 2(~ a 0 ~~ ~ ~ Q~CJ ~p-15 ~ 01L, <br />I fTrans.'er Iran serv,ce rateq 1 O D~ 2Co ~ C) ~ O 1 ~ 5(p1 SI ~ ~l rT-ansrer warn service ieeeg <br />i PS Form 3811. February 2004 :,c^~.csuc -~•..•n Rsce~Pt ro~zsesoz.+~.rs~o . P3 Fcrm 3811. February 2004 :ti~~:,~. ' • rn Receipt to2sas-o2-+Mtsw <br />^ Complete (terms 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desred. <br />^ Print your name and address on the reverse <br />s;:a that vre can return the crud to you. <br />^ Attach this card to the back of the rttellpiece, <br />Or On the front i} space permits. <br />t. Artieie Aeaessed to: <br />R;cha-d N • ink e. ~' <br />foli+~, N. Na+oniewSk't <br />5109 ilk Moun~a~n'D* <br />Reds+one NCO b'l(~23 <br />2 ArU;.la Number <br />D. Is deivery aaar~ dusun from derr, 1? a Ye: <br />If YES. outer Q~llnxy addra.4a below: ^ Nc <br />[gCertfied Mail O F~ness Maul <br />~ Rsgisterrd ^ Retun Receipt far frteronaerdrse <br />o u~ MaG ^ c.o.o._ _ <br />C. Resafctetl Deinrryn (Extra FMl ~ Ycs <br />^ Complete items ~. 2, and 3. Also complete <br />Rem 4 ff Rfrs~kted Delivery i3 desired. <br />^ Print your name and address on the reverse <br />so that we can retum the card to you. <br />^ Attach this card to the Dark of the mailpiece, <br />or en the front R spate pemtRs. <br />1. Artide Addreaxd to: <br />Samuel C~o,,,Zr~les~C;s41dc. <br />ico~5,~o(I;na `~~dlo~e ~d <br />~o~oruc~o Springs, Cp X0425 <br />.~ <br />a <br />G <br />If YES, enter daivery address beiorr. O No <br />5. Sdn'ke Ty17e <br />~Cettifred AAeif ^ Fxpraa Mau <br />O Registered D Repro, ReoeiRt for llAacpandae <br />^ Mtsued Mall ^ C.OA. <br />8. Reoeivetl by (Prirrfed Kamej~ I O. Date of Delnery <br />It YF~, enter delivery addrt~s beiavr. <br />a sarvbe type <br />Certmed Mail O 6rpress Mau <br />^ Regrsiafd 0 Retarrr Receipt for Merdurr0ise <br />a 1rra,rod Mal ^ c.o.o. <br />14. rves~rcuo uwveryr ttcpa rosy <br />2. ArtxMNrsnber'~OC72le4tO~O0t Q5(1~~52J <br />(rrarslar hom xvvge rebNf <br />b Dorr>~c Rerun Receipt ta¢o>ie~o2~rsaC PS Fore <br />retxuary ztxx~ wrttestK !~etum <br />U Yp <br />ozssis~er+a.f sa <br />