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.~ <br /> <br />tti ,. . -. <br /> <br />m _ <br />.~ <br /> <br /> <br />m <br />u'7 Pastage ~ $o. s{~ as~~ <br />0 <br /> Certified Fee $.~~ Q` <br />~ <br />O <br />Retum Receipt Fee Postmark <br /> <br />p <br />(Endorsement Required) <br />$':•, j <br />` Here <br />~ Restricted Delivery Fee <br />O (Endorsement Required) $Q, ~t7 <br />f1J <br />p <br />Total Postage & Fees <br />$ <br />$5,~i{) <br />(13f~j/ •~(}~ <br />m <br /> <br />o Sent o <br />-------- -- <br />---- <br /> <br /> <br /> <br />` <br />Streer, Apt. No.; <br />or PO Box NO. <br />~ <br />/~t <br />~~~ ---- - ---- ---- <br />T ,,pp <br />~~ <br />~ <br />~ <br /> . ~ <br />~--------------- <br />----- - <br />City, State, ZIP+4 <br />eexen. <br />:.. ,,. __ <br /> <br />o .iL_ <br />V... <br />---•----~--------° <br />a ~ `~I <br /> <br />^ Complete items 1, 2, and 3. Also complete A Sign. t Fe <br />item 4 if Restricted Delivery is desired. .0'Agent <br />^ Print your name and address on the reverse ^ Addressee <br />SO that we Can return the Card to you. <br />^ Attach this card to the back of the mailpiece, R elved by ( tinted eJ .Date of Delivery <br />or on the front if space permits. - -~ -d~ <br /> <br />1. Article Addressed to: D. elivery address di Brent from item 1? ~^ Y~e <br />• f YES, enter delivery address below: f~No <br />u ~ S. ,8v~e~oc,~ o ~ fq~ /~~~ge,~ <br />Z2a /~~e~ S f~.ee-~ <br />3. Se ice Type <br />L~Certlfled Mail ^ Express Mail <br />^ Registered ~ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Dellveryl (Extra Fee) ^ Yes <br />2. Article Number ~ ~ ~ 9 <br />(Tiansferfromservlcel~et,~„~~11,11,,,{~~J,~,Jt; ! -! ~ES~"~..~i`1i7~ 1 ~~7~~ ~O~L <br />PS Form 3811, February 2004 Domestic Return Receipt tozsss-02-M-tsao <br />