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<br />¦ Complete items 1, 2, and 3. Also Complete A. signature • <br />item 4 if Restricted Delivery is desired. X ? Agent <br />¦ Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B. wed by (P' nted Na e) C. Date of Delivery <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address different from item 1? ? Yes <br /> , <br />If YES, enter delivery address below: El No <br />(T ` <br />6/'^ V f"rf? :CIA <br />Iv LA <br /> <br />; <br />43 <br /> I <br />/ <br />(.i?-) 81240 <br />?-US 3. Service Type <br />/ ? Certified Mail ? Express Mail <br /> Registered ? Return Receipt for Merchandise <br /> 11 Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service labeo 7 010 1060 <br />0000 8447 6581 <br />i <br />PS Form 3811, February 2004 Domestic Return Receipt io,, 2tvllsao.,l <br />SENDER: COMPLETE <br />¦ Complete items 1, 2, and 3. Also complete A.. ign re <br />item 4 if Restricted Delivery is desired. <br />¦ Print your name and address on the reverse r ? Agen <br />X ?? <br /> <br />th / ? Addres ee <br />so <br />at we can return the card to you. <br />¦ Attach this card to the back of the mailpiece B calved by (P ' 'tad Na ) C. Date of Deliv <br />, <br />or on the front if space permits. <br /> <br />a - ?] -? <br />LV d, <br />Article Addressed to D. <br />. Is delivery addre ifferentf rom ' ?Yes <br />J <br />? <br />?,/A AX) t C r? <br />A` ` <br />k-0 `'f <br />O I <br />-6e <br />LA If YES, enter delivery address bel <br />o i <br />W <br />L <br />C <br />1?+ <br />6 <br />t V ? <br />Co 8 (2? <br />k8'U" S ;. <br />) 3. Service Type I <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 /> <br />2. Article NuSnber', i i ' I <br />.. 7010 <br /> <br />(Transfer from service label) <br />1 p 6 0 00110 5399 26'85 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 '