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U.S. Postal Service <br />CERTIFIED MAIL REC <br />/Domestic Mail Only- Nn 1. <br />-r . <br />rr- <br />M <br />O Postage $ <br />C3 , <br />C3 Certified Fee <br />t3 <br />D Return Receipt Fee j; <br />.. (Endorsement Required) <br />C3 <br />Fee <br />Restricted Delivery <br /> (Endorsement Requlred) <br />C3 Total Postage & Fees <br />IJ <br />r- I Sent To <br />Box No. <br />04 <br />Postmark <br />? ff?;?}lefe <br />Q4/1? / <br /> <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 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. Signature <br />X Agent <br />? Addressee <br />B. Received by (Printed Name) hVDate of Delivery <br />AD bP_A -A /11o io 4) 'Ic/'ID <br />D. Is delivery address different from item 11 ? Yes <br />If YES, enter delivery address below: ? No <br />3. Se' e T YPe <br />?? <br />L11 yY> lh 1?3Certified 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 7002 0860 0003 5743 4436 <br />(Transfer from seMce labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540