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<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 />Article Addressed to: <br />40• <br />3q a t /' P-4L- <br />3 <br />co go Yd e, <br />A. SX Agent <br />? Addressee <br />Recepv ' if (Prt N ) C. Date of Delivery <br />vie In/ 711d <br />D. is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: )No <br />3. Service Type <br />5(?ertified mail ? Evress mail <br />? egistered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />' 7006 2150 0001 8832 8034 <br />'S Form 3811, February 2004 Domestic Return Receipt 102555-02-M-1540 <br />- .. TV ulaTmuo3v . M TILT <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 maiipieci <br />or on the front if space permits. <br />Article Addressed to: <br />pla'k <br />/ <br />13 3 v ct ??s' <br />C.S06g <br />A. Signature <br />? Agent <br />? Addressee <br />by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />Certified Mail ? Express mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? p(tra Fee) ? Yes <br />7006 2150 0001 8832 8027 <br />Form 3811, February 2004 Domestic Return Receipt 102595.024-15401. <br />U.S. Postal Service-,,,, ice <br />CERTIFIED MAIL:,: RECEIPT <br />(Domestic i? CERTIFIED MAILI,., RECEIPT <br />Only; No Insurance Coverage Provided) Iti (Domestic Only; No Coverage insurance Provided) <br />ru <br />For delivery information visit our website at www.usps.comi-, i O For delivery information visit our website at www.usps.com <br /> <br /> <br />Postago ! -l 1 - <br />? CID <br />D Postage <br />Certified Fee . CI Certifies Fee <br />Retum Receipt Fee v <br /> <br />i <br />S 9 Postmartc <br />yg , <br />Here IZ-3 Return Receipt Fee <br /> <br /> <br />r <br />340 / z <br /> <br /> <br /> <br />ere <br />(Errdotsemem Required) , t= <br />C3 (Endorsement Required) <br />°rg? <br />Restrected Delivery Fee <br />(Endorsement Required) <br />C3 Restricted Delivery Fee <br />(Endorsement Required) \ <br /> <br />1. R . <br />i Total Postage & Fees Total Postage & Fees $ <br /> nj <br />Sant b <br />t __: _..__L1L__.1 ?JS+t. _ ._... _._._....».-_._.__.. O Strre:o i <br />o <br />; <br />es <br />or?BoxNo <br />- . <br />. <br />// 22 <br />or PO BoxNa J <br />5 <br />6 <br /> <br /> <br />- - - ------------ <br />- <br />cit <br />y, t%aP+4 69 <br />3800, Auq.st 2006 Se <br />PS Form <br /> <br /> <br /> <br /> <br /> <br />Reverse for instructions __(! <br /> <br /> <br /> <br />ir e, <br /> <br />PS Form :1 .. <br />. <br />_. __._. .. <br /> <br /> <br /> <br />k