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,R-2(50 0Cl - 05?/ <br />J <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 />b4VV1!5 t'i (9OJI Z4,0 <br />A e? k, ?a'rvt 61?cP.(?;t <br />? l ?(1+'lacl-63'e, Ave., <br />coko, 6.?Y' C? $ IZ ?s <br />? Agent <br />B. R e y (Printed Name) 0. Date of Delivery <br />D. Is delivery address different frbrt?r n I ? Yes <br />If YES, enter delivery addres7 bTe vIe r' 171 No <br />3. service Type <br />01 Certified Mail ? Express Mail <br />? Registered 0 Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 1140 0004 5 015 4006 <br />(transfer from service /abeO <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />-0 ?. • . . .. • . . . <br />O <br />O For deliver y information visit our website at www.usps.co mo <br /> O FFI C- . US <br />O E <br />,n - <br />.. <br />a <br />C3 Postage $ <br />Ln _ <br /> Postage: $0.44 <br />M Certified Fee: <br />(Ei x\$2.80 <br />p <br />C3 A Return Receipt <br />ee: ns y$2.30 <br /> w <br />(B v? W <br />Total Postage,, es: D f <br />1. <br /> 2 <br />? <br />a <br /> <br />co nt1o <br />u ;? ?OOwales 'A 11: . <br /> <br />O Street, Apt. No.; ? A p Q ?/ <br />or PO BoxNo..... qe ?t <br /> <br /> <br />