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f <br />f <br /> <br /> <br /> Pi <br /> s ! • <br /> <br />,q le - Only; No Insurance <br />1: Coverage Provided) <br />Ln <br /> <br /> S E <br />111- <br />Ir <br />Postage -` <br />r ?? ! <br />° f <br />I <br />N Certtfted Fee 4 ` <br />CY <br />0 <br />Retum Racefpt Fee <br />(EAftmemertf R4Ired) O <br /> <br />J lJ: Posdnatlc <br /> <br />N? <br />C3 <br />O ResUicta 1 oeftvery Fee <br />{Endomement Raputred) ?? F z <br />1 <br />.n <br />O // ( <br /> <br /> <br />"n <br />ti <br />Totaf Postage 8 Fees <br />5 - , t0 ?C1 <br /> <br />e Y e <br /> rttla X <br />0 or PO Box Na <br /> ¦ Complete items 1, 2, and 3. Also complete A. Signature <br /> <br /> <br />item 4 If Restricted Delivery is desired. <br />x ?j - 0 Agent <br />¦ Print your name and address on the reverse 0 Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailplece, B. R b Name) <br />WOW C. Date of Delivery <br />or on the front If space permits. <br /> <br />1. Article Addressed to: D. Is delivery address dHfemM from Item 1? ? yes <br /> <br /> <br />n <br />S If YES, enterdelhr <br />ery address below: Q No <br />- <br />? r <br />Y U-Q <br />? <br />jo O ??V?{?ltiQ? <br /> <br />C- C b 3 TW- <br />,ZLDedftd MW <br />3. <br />i 0 <br />rn <br /> giistered <br />atu <br />Reset for Merchandise <br /> O Insured Mali 13 C.O.D. <br /> 4. Restricted Delivery? pft Fee) D yes <br />2. Article Number <br />Mwuferfrom service /a" 7007 2560 0000 2299 9651 <br />PS Form 3811, February 2004 Domestic Return Recelpt 102595-024A-154