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It s m V? - % q 77-- C <br /> <br />¦ Complete items 1, 2, and 3. Also complete A. S' n re <br />? Agent <br />item 4 if Restricted Delivery is desired. X ? Addressee <br />¦ Print your name and address on the reverse <br />so that we can return the card to you. B. Receive (Pr?nted Name) e fAelivQ <br /> <br />¦ Attach this card to the back of the mailpiece, <br />T? <br />Y ? <br />lcifll o0 <br />or on the front if space permits. <br />D. Is delivery address different from item 1? <br />? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ? No <br /> <br /> <br /> <br /> <br />t-?k- (/J? CC7 zn `? .. <br />. Serv Type <br />3 <br />Certified Mail ? Express Mail <br />J ? Registered ? Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2, Article Number ?008 114 0 0003 443? 3926 <br />(Transfer from service label) <br />102595-02-M-1540 <br />...D <br />• i <br />WIRT-71-1 <br />r .? r ••? <br />ru <br />" <br />1r <br />m delivery r?r <br />? <br />L 'am M,r r <br />?I website at ? rr?r <br />t~ <br />M <br /> Postage: $0.44 <br /> Certified Fee: $2,80 <br />C3 Return Receipt Fee: $2.30" <br /> <br />° <br /> <br />O Total Postage & Fees: $5.54 <br />(E..__. _.... _ . <br /> Total Postage & Fees r$ <br /> <br /> <br /> <br />'? Sent To <br />? No <br />; <br />Street <br />A <br />t <br />------------------------ <br />C3 . <br />, <br />p <br />. <br />or PO Box No. ^^ ^ <br />j -t--?---- <br />- <br />i <br />IP <br />4 <br /> <br /> <br />--------------- <br />---- <br /> + <br />C <br />ty, State, Z <br />r <br />rC?t <br />:0 2006 <br /> <br />Zo- <br />Ld <br />See Reverse for histrUCtions <br />PS Form 3811, February 2004 Domestic Return Receipt