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<br /> <br /> .. a .-. <br />Ln <br /> MCCLA CQ 819 <br />n.i <br />C3 ".42 ow <br /> Postage $ <br />? a ?l <br /> Certified Fee 0 <br />r1J Return Receipt Fee .20 Postmark <br />O (Endorsement Required) Here <br />0 Restricted Delivery Fee $0.00 <br />I3 (Endorsement Required) <br />O Total Postage & Fees R; r <br />P 05/22/2M <br />M <br />N Sent To <br />r•I <br />p Street, Apt. No.; or PO Box No. <br />---------------------- <br />O '- <br />A tB <br />? _ <br />Clty, State, Z/P+ 4 <br />co 8roy-c>o?s?,c <br /> <br /> <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVER Y <br />and 3. Also complete <br />2 <br />¦ Complete items 1 A. Signature <br />, <br />, <br />item 4 if Restricted Delivery is desired. 11 Agent <br />a'¦` Print your name and address on the reverse X s' p ? Address <br />so that we can return the card to you. ed Name) <br />B. Re eived by (P <br />! ate of Delive <br /> <br />.? Attach this card to the back of the mailpiece, evh <br />? <br />Q <br />or on the front if space permits. <br />. <br /> m item 1? <br />t f <br />diff <br />dd ? Yes <br /> eren <br />ro <br />D. Is delivery a <br />ress <br />1. Article Addressed to: If YES, enter delivery address below: ? No <br />V EQL++vF-FF FOAMS 10:3za=' <br />.f1nr.G;_Jqvj, co <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 }., <br />(Transfer from service label) _/ d y 0 1 -53 o o®©:;IZ O (p 0 Z' <br />PS Form 38114; August 2001 Domestic Return Receipt 102595-01-M-2509