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<br /> (Domestic Mail Only; No Ins urance Coverage Provided) <br />M <br />0 <br />rq <br />C3 <br /> <br />m Postage $ <br /> <br />C3 <br />Postage: $0.61 <br />z s $2,80 <br />M <br />C3 <br />0 (Eric <br />Re: Certified Fee: ; $2,30 <br />(End Return Receipt Fe <br />? <br />ru <br /> <br />c3 <br /> <br />& F <br />$5.71 <br />ee k? <br /> Tot Total Postage S, „- <br /> <br />C3 <br />C3 etio -- / <br />- C-4 7 Al 5- <br />tree , --- <br />Apt. No.; <br />-7 <br /> <br /> <br />r? <br /> <br />// <br />or PO Box No. <br />? <br />7. 7J <br />--°-----------_ <br /> <br /> <br />i ------------------ <br /> ZYP+4 ? <br /> 00. August 2006 <br />PS Form <br />See Reverse for Instructions <br />7-23-lo <br />507 <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. icle Add ssed to:: <br />Xa 7A 109exlo'l' L C <br />3771 lle4 <br />1411 ff/,Js <br />A. Signature <br /> <br /> <br />X <br />D <br />O Agent <br /> ? Addressee <br />B. Recely? by (PHnte Name) C. ate of Delivery <br />r <br />D. Is delivery address different from Item 1 Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />0 Certified Mail 13 Express Mail <br />? Registered 0 Return Receipt for Merchandise <br />? Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number / 7007 3020 0001 6340 1031 <br />(Transfer from service labeq <br />Ps Earn 3811, February 2004 Domestic Return Receipt t@35g3