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i - <br /> 4 <br /> <br />1 <br />, <br />• COMPLETE THIS SECTION <br />• LETE THIS SECTION ON CEOVERY <br />SEN DER: COMPLETE THIS SECTION COMPLETE SECTION . DELIVERY <br />5 <br /> <br /> <br /> <br /> <br />? <br /> <br /> <br /> <br />:..,.... Za< ii5•:r. `Yi!`,' if;M+a <br />w•.. <br />..,, •.s,,, .,-- •, ., nrr ., _.. ,. ...,v.zVS.:Y..y:i.:n:,:r,o,.,., r <br />,:..,,;r--•:„..•..-:,,.:.;,.: _crn.us.h,. ,, ; ., .v,.i.,..,?+yf:ac.ir.:.nt,,,: yt dr ;;? ,,; tHfvtt4,iS; u; <br />:m <br />(?niul <br />,, <br />' #. " 3:'.Alsoico letec!i ?>:"<, ,ASigijatu <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Complete items 1, 2, and 3. Also complete <br /> <br /> <br /> <br /> <br /> <br /> <br />gnature <br />A <br />A. ? Agent <br /> <br />.....:: :.:: . <br />i]e 'e .ji desi 'n f! .. ='. <br />t . <br />item,4 If,A85)•ri4,ed,, ,... I1V.ry ::.::.. ...... ::-; : <br />."; ?' dre a ; 4 if Restricted Delivery Is desired. <br /> <br />item <br />¦ Print your name and address on the reverse <br /> <br />13 Addressee <br />ti .ddress:,on.the <br />d` a <br />.Pr1nt yourrtam an <br /> <br />we-cm (etu <br />at we can return the card to you. <br /> <br /> <br />so that <br />C. 0 <br />--el.. by (Printed Name) e o Deliven <br />B. <br />c <br /> <br />.` <br />111P c, <br /> <br />art, c ® Attach this card to the back of the mallplece, <br /> <br /> <br />it <br />if <br />y or..on,.Pefront ifspace:permits: <br />QY ' space perm <br />s. <br />or on the front <br />D. Is delivery address different from Item 1. Yes <br />r <br />1.. Article' ddressedto: D.. Is delivery. add ss different <br />Sip <br />If YES, enter delivery address be ar-f0 Ne 4 <br />1 • Arflcle Addressed to: <br />If YES, enter delivery address below: ? No <br /> <br />?t f?r5 ?pi?7 <br />A <br />" r <br />?r- p /14 ir'S JCI?Lc?.3Ct1 <br />b <br />k r G (.25 3 , ,4$hsL,6F IEvA'-D <br />b f?0 Qox I6s?- , <br /> <br />/ "Gd N7 ROSL^? Co 3. Service Type <br />$,certified Mali ? Express man / 'ION t!l O S lr C 0 e/z/o/ 3 Service Type <br />Certified Mail ? Express Mail <br />° d Registered 13 Return ReceiptfbnMerdhandise t [3 Registered U3 Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. ? Insured Mail ? C.O.D. <br />e 4. Restricted Delivery? (ESctra Fee) 13. Yes 4. Restricted Delivery? Pdra Fee) 13 Yes <br /> '2. ArticfeNumber <br />91 <br />7108 2133 3933 7314 4963 <br /> <br />ber <br />2. Article Num <br />91 <br />' <br /> <br />71H.-2133 3933 7314 4949 <br /> (Transfer from seallce label) . _ :, <br />sgrvice labeQ <br />. <br />(Transfer <br />fMm <br /> riKlBStic Returrr Receipt. 142695-02 M-1540 <br />DO <br />rm 3811; February <br />9-0041 + i <br />PS F PS Form X81, ?,, February2004 Domestic Return Receipt lozss5 02 nr lsai <br /> i <br />i <br />o <br />1-4 <br />t4l 41 1 SENDER-'. COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />i <br /> ::..:::.:.:...:.:..::...:....:<...,...:.:..::.:::...,::_.,..v,,,:::,;.-;:,.; <br />: ::::.'.::i:::':::::;.:..::; :•i <br /> <br />N Complete items'T. 2;: and'.3 - Also..c0mpiete S'g re.., <br />? <br />® Complete items 1, 2, and 3. Also comp[eto <br /> <br />item 4 if Restricted Delivery 1s desired. <br /> <br />gnature <br />A. S <br /> <br /> <br />Agent <br /> <br /> <br /> <br />y <br />Item 4 if Restricted Delivery is desired. <br /> <br /> <br /> <br />rint your name and address on the reverse <br />r 'Agerrt <br />. <br />X <br /> <br /> <br />` ' ' ddressee ,, <br />Y21,, A <br /> <br /> <br /> <br />Print your name and address on the reverse <br />X <br /> <br /> <br /> <br />Addresser <br /> that we can return the card to You. <br />s <br />all <br />l j <br />B. Received by (Printed Name) C. D of slivery so that we can return the card to you. <br />z Attach this cad to the back of the rna{lpiece, Received by (Printed Name) D e of D liven <br /> <br />d <br />4s p <br />ece, <br />® Attach this card to the back of the m Q S or on the front If space permit& <br /> or on the front if space permits. <br /> <br />f 1711 <br />D. Is delivery address different from item t yes <br /> <br /> <br />. Article Addressed to. <br />D. Is delivery address different from iterrr 1 es <br /> <br />enter delivery address below: E3 No <br />If YES <br /> 1. Article Addressed to. If YES, enter delivery address below: ? No <br />4- A") Coal-, 7 <br />?{ , <br />i •-"V? f <br />Goy q K ?.?s?rs 12o.4.b <br /> N79 d S W_ 0 C <br />f ?) Service T <br />e <br />3 <br /> .. ??11 a / ?d f <br />/"long it O$G? Service Type <br />3. <br />?rzCertifled Mall O Express Mail O yp <br />. <br />?i cerflfled Mail [3 Express Mail <br />;I <br />a 13 Registered ? Return Receipt W.Merbhandise <br />C3 Return Receipt for Merdrandisr <br />13 <br />Registered <br />[3 <br /> <br />? Insured Mail ? C.O.D. I <br />nsined <br />Mao <br />C.O.D. <br />nsure <br /> <br />z <br />4. Restricted Delivery? (Extra Fee) ? Yes 4. Restricted Delivery? (F.xtia Fee) ? Yes <br /> 2. Article, Number <br />= 9.1 <br /> <br />m <br />f j <br />7108.- 2133 393 3. 7 314 4970 <br />i 2 Article Number 91 <br /> <br />(Translerfrgm se4vfce lobe!}! -7108.2133 3933 7 314 4918 <br />va (Transfer fro <br />serWce tabs!) _ _ _ _ -- .. - <br />,yt <br />k - r <br /> <br />y 2004 i Domestic Return Receipt. 102595-024 01-1549 i <br />PSj Form Febnrar PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15G <br /> <br />