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^ 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 maiipiece, <br />or on the front ff space~ennits. <br />1. Article Addressed to: <br />`Dr. Michael DeJohn <br />P.O. Box 8419 <br />Clinton, LA 70722 <br />a signor <br />X ^ Agent <br />^ Addressee <br />B. Received by (Printed Name) C. Date f Deli ry <br />D. Is delivery address different from item 1 ~ D Yes <br />ff YES, enter delivery address below: ^ No <br />3. Service Type <br />Certified Map ^ Express Mall <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResUicted iver)/1(F~ctra Fee) ^ Yes <br />2. Article Number 7 p p 6 215 0 0 0 D 1 67 61 9 8 5 6 <br />(transfer from seniJce; latieq <br />PS Form 3811, February 2004 Domest~ Return Receipt to2ssso2-tit-tsao <br />i E <br />^ Complete items 1, 2, and 3. Also complete A. re <br />item 4 ff Restncted Delivery is desired. -:' -- _ <br />X ^ Agent <br />^ Print your name and address on the reverse ^ A~~~ <br />So that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, g. Receved (pd C. of ivory <br />or on the front if space permits. ~ <br />1. Article Addressed to: D• Is der ress different from item 1? Yes <br /> ff YES, enter delivery address below: ^ No <br />:Hank E & Stephanie A Williams' <br />P.O. Box 704 <br />N(~rrwood <br />CO 81423 3• servt~ Typo <br />, I~ Certifiee Mail ^ Express Mail <br />- ^ Registered ~ ^..Retum Receipt for Merchandise <br /> ^ Insured Mafl ^ C.O.D. <br /> d. Restricted [3elivery? (Extra Fee) ^ Yes <br />2. Article Number __ <br />(~,a„~;~,i,~„,~~ i 7006 2150 OOD1 6761 9849 <br />: , <br />: , <br />. <br />PS Form 3811, February 2004 Domestic Return Receipt <br />to2595-02-M-t54o <br />