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¦ Complete items 1, 2, and 3. Also complete <br />Item 4 If Restricted Delivery Is desired A S na dre <br />`-- <br />? Agent ¦ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Deliver <br />Is desired A. SI_ gnature 1 j= r, <br />r --_? Age <br />( <br />?j <br />?/ <br />E C <br />? <br />. <br />III X . <br />y ? <br />/ <br />j <br />_ /f <br />- <br />" <br />Print your name and address on the reverse ? Addressee i ¦ Prlnt <br />your name and address on the reverse G?Q,???• ? Add e <br />/.j <br />so that we. can return the card to you. <br /> <br />¦ Attach this card to the back of the mailplece, B. R Ned by (Printed Name) <br />C. Da e o Delivery . <br />so that we can return the card to <br />you. <br />¦ Attach this card to the back of the maflplece,; <br />B. Received by (Printed Name)'-; , <br />C. Date I' <br />3 ' <br /> <br />or on the front If space permits <br />. <br />or on the front if space permits <br />r 2 <br />a r14 <br /> K <br />. ? <br />1. Article Addressed to: D. Is delivery address different from item 1 <br />If YE Yes <br />0 N <br />1 • Article Addressed to: Yes <br />D. Is deli address different em 1? <br />? <br />Nb <br />I <br /> S, enter delivery address below: o . <br />o <br />If YES, enter delivery addre <br />?tq 1 Y F <br />'? <br />: <br /> <br />014 '7g K as s 12v ? 1 V? <br />? <br />. /t <br />OL J UP?OC? <br />} 33d <br /> <br />1,10"Vr/OsLr W <br />C S 3. Service <br />Type <br />XCeR]fled Mai[ ? Express Mail <br />r ?? <br />Tpe <br />3 S E <br />d Mal ? dress Mail <br /> C:1 Registered ? Return Receipt for Merchandise L] ? Return Receipt for Merchandise <br />gLatered <br /> ? Insured Mail ? C.O.D. ; ? insured Mail ? G.O.D. <br /> 4. Restricted Delivery! (Extra Fee) ? yes 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 91 <br />(Trap sfer fnxn service le6eJ) s 7108:-2133. 3 9 3.3. 7 314 4932 12. Article Number 9 710& 213 3 9.3 3 7314 4 8 71 <br /> <br />(Ransfer from service /abe7 J <br />,PS Form, 381.1, Fe4ruary 2004 Domestic Return Receipt 1o2s95-o24&i54o PS L Fo3811, February 2004 Domestic Return Receipt 102595-02-M-154( <br />m <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 reversd <br />so that we can return the card to you. <br />fe Attach this card to the back of the maiipleee;- <br />or on the front it space permits. <br />1. Article Addressed to: <br />lAfr t MrS / tOrr'i S <br />p 2 G!O POO 120A1) <br />A. Sig a#?re ¦ Complete items 1, 2, and 3. Also complete <br />i 0 Agent item 4 if Restricted Delivery is desired. <br />X. ? Addressee ¦ Print your name and address on the reverse <br />so that we can return the card to you: <br />B. Received by (Printed Name) C. Date of Delivery tl ¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address different from Item.1? ? Yes 1• Article Addressed to: <br />If YES, enter delivery address below: ? No. <br />?r? f? <br />6O ?o( J?nNs?ts 1loa? <br />3. Servlcr <br />?o` n Sd: -?? S r eea?f <br />2: Article Number <br />(Transfer fromf service labs!) <br />?nr <br />13 ? I?ns'un <br />4. R--!ri Ie <br />91 7108 213 <br />4 Receiv ? IP?x C? >of 0 i ry <br />t <br />IL..a • /? ? a'f <br />D. Is delivery address differs t froftem 1? es <br />If YES, enter delivery add bel7mr?-!0 <br />7 "? <br />.) ?_ ? r O.J r/2 O $ L% $ / ?lO J 3. Service Type <br />I Mail i rEXress Maii XCertifsd Mail ? Express Mail <br />ed ? Redrm Receipt for Merchandise ? Registered ? Return Receipt for Merchandise <br />mail ? C.o.D. ? ? Insured Mail ? C.O.D. <br />t- 4. Restricted Delivery? (Extra Fee) tJ Yes <br />Delivery? (Fxtr? Fe,-) ? Yes <br />2. Article Number 91 ?108 2133 3933 7 314 4901 <br />,---3.a.3' `7 314 498? ? (Transfer from sendce 141100 <br />PS Form ;3811. February2004 I , ; t Domestic Return Receipt <br />1o25ss o2 r? t54o PS Form 3811, February 2004 Domestic.Retum Receipt <br />102595.02-14.154