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<br />" CA) 0/ <br />,1_i3_ /0 <br />cam,.. /? <br />,fie v? <br />b 04 -5 <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 />A. Sign, <br />X -If 7 ? Agent <br />? Addressee <br />B. eoeived by (Prfn Name) C. Date of Delivery <br />D. Is delivery address different from Item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />V1 1 ca"ICL1? ? fQve,l? avic <br />640 Lu 2 L <br />d'41 a \1 --2?-6t00 CO g10 5, i? <br />3. ice Type <br />Certified mail ? Express mail <br />? Registered ? Return Recelpt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(rransferfrom semicefaW 7008 <br />3230 0002 7252 6810 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540 <br /> Postal <br /> CERTIFIED MAILTr, RECE IPT <br />M <br />,.q (Domestic Mail Only; Nb Insurance cove rage Provided) <br />Co <br />-0 <br />„ <br />ru 0=0 F FF I C L 'US= <br />ru <br />r- <br />ti Postage: <br />SdS <br />C <br />''- O <br />$0.44 <br />E3 ertified Fee: ?? -? $2.80 <br />O (Ent Return Receipt Fee: $2.30 <br />C:j M iE°` Total Postage & Fees: , <br />$5.54 <br />rLl <br />M Total Postage es Tees <br />CO <br />o Sent To <br />0 e rc?? c9, V-Cw-:v\ e >l <br /> <br /> <br />M ? <br />Sheet, Apt No.; -------------------------------------------- <br />--------------------------- <br /> or PO Box--- No. <br />LqO La ?- ? I 5 <br />-°---°-- ° - - - -- <br /> - - <br />City, State, Z/P+4 <br />`f?af Zck"O?o C 0 ------------------ <br /> <br />AD5,j? <br />