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OW <br /> <br /> <br /> <br />Ln p0s 9 <br />ru <br />` Certified Fee. <br />eipt Fee, <br />r Return Rec <br />ru <br /> <br />o <br />e <br />tal postage & <br />o (End To <br /> <br />O Res. very Fee <br />(Endorsement Re?uved) <br />M <br />fU Total Postage & Fees <br />M <br />CO Sent To 6L44 <br />. <br /> <br />[] <br />r% ..... <br />------. <br />Street, Apt. No.; <br />or PO Box No. 2? C' r it, <br />$0.44 <br />$2.80 <br />$2.30 <br />STA, Dlfj$ 4 <br />3;c ely?` <br />,? H6rU <br />?o <br />J, <br />USP5 / <br />• M-1596-079 <br />• /z-2z-/n <br />t3t?,u„ul <br />?W 11 D)e *5 <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 />y <br />A. Signs re <br />? Agent <br />? Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? es <br />If YES, enter delivery address below: ? No <br />G C) ?05W <br />L <br />3. Serv Type <br />Certifled 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 4181 <br />(Transfer from service labeO <br />Ps Form 3811, February 2004 Domestic Retum Receipt 102595-e2•M- I