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ft (Domestic I Insurance Coverage Provided) <br />Y/1 <br />• • delivery W <br />II 0 33 <br />w <br />$1.56 0127 <br />-I- Postage $ <br />CID <br />Certified Fee $2.80 08 <br />C3 Postmark <br />C3 Return Receipt Fee <br />O (Endorsement Required) $2.30; sre <br />O Restricted Delivery Fee <br />0 (Endorsement Required) $0.00 <br />$6.66: 12/17/2010 <br />C3 Total Postage 8 Fees <br />a <br />Se1ntAATo__ ` p /?? <br />E3 Stieeet, shpt. Na; <br />or PO Box Na. 1 ?u rt C il ?fr' <br />City,'State, Z!L .l?J.^rr .°w`......._._.°__°° <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 />(? P1?T74- COhx?'IetJ/?l OtJ <br />Ill ST(Lt C'C_ <br />-3 t 60Tf1iC 5l <br />-DUOA1'3 c---O) Cb 8 (!50? <br />A. <br />? Agent <br />Received br(Printed Name) I 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? (Extra Fee) ? Yes <br />2._ Article Numb <br />(rranste 7010 1060 0000 8447 6697 <br />PS Form ,February 2004 Domestic Return Receipt 102595-02-M-1540,