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• ?l- r qF y- 0/ 3 <br />ll- 3 0- /n <br /> <br /> Postal <br /> CERTIFIED MAILTMRECE IPT <br /> <br />m pomestic Mail Only; No Insurance Coverage ..d <br />Er s <br />m <br />m <br />m <br />ru <br />I`- <br />Postage: <br />$0.44. <br /> Certified Fee: $2,80 <br />ru <br />0 Return Receipt Fee: <br />.30 <br />14 <br />° <br />° (Eni <br />R, Total Postage & Fees: <br />(Enl , <br />$5? <br />° <br />M <br />ru <br />M Total Postage & Fees $ <br />Co Sent To CTearie- 2 k <br />° <br />° - ---• <br />Street, Apt. No.; 1?g ?. 2 <br /> <br /> <br />! J <br />r PD Box No 4- <br /> <br />9 <br /> . <br />o <br />cry" srai'a: ZrP+4 Fo,,.?- L ?ou, Co -.,...- <br />Sa6 Z <br /> :,, ,,. <br />¦ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. <br />¦ Print your name and address on the reverse 1 <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, <br />7 <br />it <br />if 41 W/ <br />/ <br />s. <br />space perm <br />or on the front <br />1. Article Addressed to: <br />6eor9 t? O#m <br />J)'439 CIR <br />iQ <br />Go <br />Mat <br />4 1 <br />? Agent <br />B. eived by (Printed ?? C. Date of Delivery <br />.-3C) <br />D. Is delivery address differen m 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? (Extra Fee) ? Yes <br />2. Article Number '7008 3230 0002 7253 3931 <br />(Transfer from service labe/) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540