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TM <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />rU <br />- W" F l <br />U <br />I <br />rrl Postage $ <br />rq Certified Fee <br />O Return Redept Fee <br />(Endorsement Required) <br />C3 Restricted Delivery Fee <br />rl (Endorsement Required) <br />a <br />?IA L USE <br /> <br />$2.65 05 . <br />^ <br /> <br /> <br />32.15 ,,, <br />w. <br />'stmark <br /> e(0 <br />$0.00 <br />M Total Postage & Fees $ 35.94 OV2812Op -, <br />M <br />c3 ant Ta <br />C3 RIB LkAll)-.141'eAk <br />--------- <br />? <br />or PO Box No. •........... <br />cUY, stare, ziP+a • .. .................................... <br />e.e e Q 91"1 <br />.. <br />¦ 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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />,e,v,8z,t w1& ?Wkbt2u,` <br />A. azure <br />? ? <br />Adantss <br />by (Printed Name) t Iv <br />G C <br />D. Is delivery address different from 1? ? Y <br />If YES, enter delivery address low: ? o <br />3. Sam& 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 />(rransferfror 7003 3110 0021 3524 1722 <br />PS Form 381 , February 2004 Domestic Return Receipt 102595-02-M-16400