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I- <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 />LV1a>f?C ?c:0? <br />y LowlilY "' 5i0?C6 <br />?I ©vua C®? <br />l3aS 64-? 5A, P, E-80? l4? <br />?u? sf Gd `b L O CQ <br />-/r l - i' 7 <br />, 10 C"'V P24J <br /> <br />a 771 A c l/ .Agent <br />Stec ived by 1nte? Name) (C) C. Date of Delivery <br />D. Is delivery address different fro item 1? ? Yes <br />if YES, enter delivery address below: r0 <br />3. Service Type <br />[rceri fied Mail ? Express Mail <br />E3 Registered E3 Return Reaelpt for Merchandise <br />0 Insured Mail O C.O.D. <br />4. Restricted Delivery? (Sutra Fee) 0 Yes <br />2. Article Number 7007 3020 0001 6340 1581 <br />(Transfer from service 16W <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />'-I i Only, <br />(Domestic <br />CD <br />Ln <br />'-a _ $0.61 <br />c postage* $2.80- <br />=r <br />Certified Fee: <br /> <br />$2.3?0' <br />-0 Return Receipt Fee: <br /> <br />° <br />l Postage & Fees: ' $5.71 ;tmark <br />o Tota -mere <br /> <br />C3 Restricted Delivery Fee <br />(Endorsement Required) <br />ru <br />p Total Postage & Fees $ <br />M <br /> enttT <br />IpV? I <br />0 SNreet, Apt. ?/ //11 /l <br />or PO Box No. t ` Q 177' ?...`?]_= ?Y = Qx'/ --------------- <br /> C;4, State, Z,P+4 C O <br />August 2006 C.? <br />PS Form :3800 ?/ o 3(p <br />See Reverse for Instructions <br /> ,