2011-03-14_REVISION - M1977493 ‎(53)‎

• Permit No: M1977493
• IBM Index Class Name: REVISION
• Doc Date: 3/14/2011
• Doc Name: Exhibit List, Ex. 1-5
• From: Climax
• To: MLRB
• Type & Sequence: AM6
• Media Type: D
• Archive: No

CM0000421
•
¦ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery Is desired. X
¦ Print your name and address on the reverse
so that we can return the card to you. e
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
4 ? Agent
1. Article Addressed to:
{irI%VNR N
/7fi5sio Aver-r
? Addre
C. Date of Dbli
Is delivery address diffefent from item 1? O• Ye:
If YES, enter delivery address below: ? No
o. ae . r'a type
edified Mail ? ress Mall
Registered Retum Receipt for Merchandise
? Insured Mail ? .o.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number _ -_ .. _..---...... .-•--- .... .. .
(Transfer from service label) 700L Old O 0007 1940 8 410
Ps Form 3811, February 2004 Domestic Return Receipt 102695-02-M-1640
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