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A <br /> Postal <br /> CERTIFIED MAIU, REC <br />--('Ome-9tic mail OnIY; No Insurance co EIPT <br />verage <br />Provided <br />11- ) <br /> <br />nJ <br />r- Postage: <br />$0.44 <br /> Certified Fee: $2.80 <br />ru Return Receipt Fee: $2.30 tmark <br />0 <br />c3 <br />Total Postage & Fees: <br />$5.54 ere <br />0 <br />M <br />m <br />?? <br />Total Postage & Fees I <br />=- <br /> To <br />O L <br />- - <br />- - °?° - _.... <br /> <br />------------- <br />- -°--- a <br /> r.. <br />071 <br />1977 07V <br />9-f-t?RM% <br />/?AofF <br />¦ Complete items 1, 2, and 3. Also complete A. Si ature <br />item 4 if Restricted Delivery is desired. _ 13 Agent <br />¦ Print your name and address on the reverse E ddressee <br />so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery <br />¦ Attach this card to the back of the mailpiece, <br />wiasT t+er i-`G` <br />q <br />or on the front if space permits. <br /> D. Is delivery address different from item 1? ? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ? No <br />G? (?Jebw..ars '- <br />11n)-s t 5 <br />?.o . 3tqq3 G <br />'t Mu r ?!v r C? 0 07') <br />3. ?SSo fI Type <br />CTCerttified 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 7008 3230 0002 7253 2989 <br />(Transfer from service label) <br />n Forum 3811, February 2004 Domestic Return Receipt 102595404101-11W