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I Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />H 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. SigWgUM <br />kjK- /y?(Agent <br />0 Addressee <br />by (Printed Name) C,. Date of Delivery <br />95i Uk, I c5/agl <br />D. Is delivery address different from Item 1? ? Yes <br />If ,ES, enter delivery address below: ? No <br />'ZIP j <br />A0• i3c>X /6c?7 <br />Pr vice <br />A60A 5PRIN6 s (? 3. Type <br />! LSLCertified Mail ? Express Mail <br />S114-7 Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7009 2250 0002 1716 9108 <br />(i#ansfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> (Domestic <br />0 <br />a For d <br />li <br />i <br />f <br />ti i <br />i <br /> <br />Ir <br />e <br />very <br />n <br />orma <br />on v <br />s <br />t our webs <br />4 , <br />ite at <br /> <br />tt Postage $ $0.44 O <br /> <br /> Cerueed Fee $2.$0 S <br />? <br />r <br />O <br />O Return Receipt Fee <br />(Endorsement Required) <br />$2.34 01 Postmark <br />?!©l Jere <br />O Restricted Delivery Fee <br />(EndoreemeMRequired) <br />•00 O , D <br />r\ <br />C3 <br /> <br />ru Total Postage & Fees $ $5.54 <br /> <br /> <br />Er Sent o <br />o sneei iuoi Nd......................... ......_.. ...__... ---........... .......... . <br /> or PO Box No.