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fy <br />C-? <br /> <br />l <br />t' <br />1 <br />?Q <br />1 <br />?J <br />w? <br />¦ Complete items 1, 2, and 3. Also complete A. Sign ture <br />item 4 if Restricted Delivery is desired. Agent°"' <br />¦ Print your name and address pn the reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, g, ecelved by (Printed Name) C. Date gf Del-' <br />r m <br />or on the front if space permits <br /> <br /> <br />1. Article Addressed to: D. Is delivery address dill - mr t from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br /> <br />7E>I- <br />. <br />` y <br />c-not u-'Sd 3. Servibe Type <br /> <br />iF <br />il ? E <br />RrC? <br />il <br />d M <br />r <br />,?o ! , O <br />D4- rt <br />a <br />e <br />xpress Ma <br />? Registered 2f Retum Receipt for Merchandise <br /> ? Insured mail, ? C.O.D. <br /> 4. R cted Delivery? (Extra Fee) ? yes <br />z. Ra <br />(nsfer from from service label) 7006 21,50 0003 0828 6695 <br />Tiarrsf <br />PS Fom13811. Februarv 2004 Domestic Retum Recelot +rnsuuW.nn.I:aa <br />UNITED STATES POST%4SEUJ1 •_•• k Y " <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />C-Q <br />-o , <br />-,so L04 ?3