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M aC <br />• M -- Z OOO - 156' <br />/ / — .9� S — 2 - 0 O F <br />r <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 />Yom" �J�rjcTfJ <br />Cov �3a� 0)(Ca�^ <br />�u <br />3 <br />LoJ , C° <br />A. Signature <br />❑ Agent <br />X ❑ Addressee <br />B. Received by ( Printed Nam' Date qf Deli ery <br />D. Is delivery address diffellbnt from Am 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. S09KO 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 7008 0500 0000 5587 0142 <br />(transfer from service labeo _ _ — <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- o2- M-1540 <br />'n <br />L, <br />Postage: <br />Certified Fee: <br />$2.80 <br />$2,30, <br />° <br />Return Receipt Fee: <br />C3 <br />° <br />(Er <br />Postage & Fees: <br />j, $5.54 <br />C3 <br />E, T otal <br />I <br />0 <br />L1 <br />Total Postage & Fees <br />$ <br />cc <br />Sent To <br />E3Street, <br />Apt. No.; <br />or PO Box No.�pq .( <br />- • .... ................. <br />— nr - ..__........ <br />ru <br />0 <br />.w <br />