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,? • 94-1 9 3- 13 9 <br />01 Z 3 /1 /C9 <br />ca'a. --? <br />_ <br />?'e? ¦ Complete items 1, 2, and 3. Also complete A. Signature <br />k yq-s <br />item 4 if Restricted Delivery Is desired. X %'"- Dent <br />¦ Print your name and address on the reverse " Z"'a/ ? Addressee <br />so that we can return the card to you. B. Received by (Prin Name) C. Date of Delivery tpd <br />¦ Attach this card to the back of the mailpiece, ! 7 <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />-Toe ?wC In <br />pl ovtee,r <br />3. SeMce Type <br />? Certified Mail ? rras Mail <br />',A/ 13 Registered •? f ? r?A d .J\ ? egistered 13 Return Receipt for Merchandise <br />CMG !! ?l ? Insured Mail ? C.O.D. <br />,go 9 33 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 3230 0002 7252 7664 <br />(Transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-0244-1540 <br />Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />z:r 1 (Domestic Only; No Insurance Coverage Provided) <br />171- For delivery information visit our website at www.usps.come <br />W <br />,n =07 <br />ru Postage: <br />r%- $0.44 <br />"' Certified Fee: <br />$2.80 <br />Return Receipt Fee: $2.30 <br />rv <br />M Retu <br />C3 (Endorser Total Postage & Fees: <br />Restdcte,. $5.54 <br />r3 (Endorsement Requlred) - <br />M <br />rN Total Postage & Fees $ <br />cO S t To I C- <br />0 t_- VU <br />E3 reef Apt. No.; <br />r. or PO BoxNo._.__?r [ S?? <br />?ii3 cintiirv a • n n ? n_ n? -