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4? M= ZOO 7-- o?Z <br />fr: p krhs <br /> <br />¦ Complete items 1, 2, and 3. Also complete A. S' nature <br />item 4 if Restricted Delivery is desired. 11 Agent <br />11111 Print your name and address on the reverse X 1,4 [Cti ? Addressee <br />so that we can return the card to you. B. R eived by (Printed Name) C Da> t of /Delivery <br />¦ Attach this cans to the back of the mailpiece, <br />or on the front if space permits. . <br />D. Is delivery address different from item 1? ? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ? No <br />La, a rc,LL Gk) P?S?? !W(" <br />l ? o CIAU??VL VJ<1\1 <br />50-?e- Wo <br />Wasik ;.v5ke'r 1 GC)'qU3z'1 <br />3. Service Type <br />50 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 7007 3020 0001 6340 1680 <br />(transfer from service label <br />PS Form 3811, February 2004 Domestic Return Receipt <br />Postal II CERTIFIED MAILT,., RECEIPT <br />$JICO (Domestic Mail Only; No Insurance Coverage Provided) <br />information For delivery I <br />M <br />?m Postage: $0.61 <br />Certified Fee: $2.80 <br />? Retur, Return Receipt Fee: $2130 <br />I-3 (Endorsem C J <br />? <br />p Restricted Total Postage & Fees: $ <br />(Endorsem 5,71 <br />ru 'd 3 <br />E:3 Total Postage & Fees I <br />M <br />Sent To <br />° v_0...r. des -F- <br />-- ------- <br />Street, Apt. No.; <br />° U <br />N or PO Box No. <br />.-6767 -f <br />ZlP+4 <br />PS Form :,0 <br />102595-02-M-1540