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dye <br />77-3; loo <br />e <br />AV, <br /> Postal <br /> CERTIFIED MAIL r. R ECEIPT <br />? <br />Er (Domestic Mail Only; No Insuran ce Coverage .... <br /> <br />M <br />e: <br />7 <br />?a <br />7 <br />$0.61 <br />M <br />Ln .., <br />f <br />d Fee: $ 2.80 <br />ru Return Receipt Fee: $2.30 <br />N <br />o Total Postage & Fees: $01 ` <br />O (En, Z <br /> Restricted Delivery Fee <br />(Endorsement Required) f <br />r3 <br />M <br />rU <br />Total Postage & Fees ::.. _.- <br /> <br />cc Sent To <br />/CQ1?p?y GI?.G?OY- <br />l `? --•?--0------------•- <br />C3 Sfreet, Apt. No.; D <br />or PO Box No. <br />OX ?7 O <br /> <br />-^----° <br /> - <br />________°-••--°-°-• °__° <br />----- <br />city, state, z?P+a (fa.rtj O g 12 /S- <br />se f., 1-t, <br />R <br />S <br /> ever <br />ee <br />P3 <br />r Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X <br />¦ Print your name and address on the reverse <br />so that we can return the card to you. B. Rec ed <br />¦ Attach this card to the back of the mailpiece, 1 <br />or on the front if space permits. <br />1. Article Addressed to: <br /> <br />? Agent <br />13 Addressee <br />Printed Name) C. Date of Delivery <br />D. Is de ery address different from i1 n 1? ? Yes <br />If YES, enter delivery address below: ? No <br />?Jr? ?au?f/ '?CJ?t? ?l? <br />C_.oT-CP.v C?r?ora ?,b? <br />O , rr S O 3. Service Type <br />RCertified Mail ? Express Mail <br />? Registered E3 Return Receipt for Merchandise <br />LA?ffCLt l //++ ei ?Y, ?t/ O 12?J ? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 3230 0002 7253 3894 <br />(rransfer from service labeo <br />Farm 3811, February 2004 Domestic Return Receipt 10250-02-W"6 i