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16-T W-) <br />?nd ir,?pec?-?o? <br /> Postal <br /> CERTIFIED MAILT. RECEIPT <br /> (Domestic Provided) <br />M <br />ru <br />o , <br /> <br />CU . <br />CO <br />-I- <br />Postage: <br />TA. r <br />? 5 <br />C3 Certified Fee: L <br />$2 <br />C3 ?e? Return Receipt Fee: . <br />$2 <br />3 <br /> <br />a <br />Et Total Posta <br />e & F . <br />Jet 2 <br />t? <br />3 2009 a <br />L g <br />ees: , <br />$5 <br />n <br /> <br />M <br />Total Postage & Fees . <br /> USP5 <br />.0 Sent To <br />I= <br />p -" ""' <br />Street, Apt. No.; John Patrick <br />r%- or Po Box No. 16038 Clover Lane <br /> Ciry, stare, YIP+a Dubuque, Iowa 5200 ...................... <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 cans 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 />John Patrick <br />16038 Clover Lane <br />Dubuque, Iowa 52002 <br />? Agent <br />? Addressee <br />B. Received by (P ed Name) C. Date of DeWery <br />_ <br />11 -L <br />D. Is delivery address different from Item 1? ? Yes <br />If YES, enter delivery address below: ? No <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, pransferu <br />(Transfer from m serv/ce label) 7006 3450 0000 4880 2371 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 54 <br />