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Postal <br /> CERTIFIED MAIL,,., RE CEIPT <br /> (Domestic Mail Only; No Insurance Coverage Provided) <br /> <br />..0 <br />Postage: <br /> <br />$0.44 i <br />a Certified Fee: $2 <br />85 <br />° Return Receipt Fee: . <br />$2,35 <br />Ln <br />M Total Postage & Fees: <br />$5 <br />59 <br />o <br />E3 R <br />(Endorsement Regwrea) . <br /> Restricted Delivery Fee <br />(Endorsement Required) <br />E3 <br />fU <br />CID Total Postage & Fees $ <br />rU <br /> Sent Tt o tr P <br />eLC <br />. <br />` <br /> <br /> <br />C3 <br />? <br />0 <br />--- --- --------- <br />---- <br />-'- --- ------------ - <br />Street Apt. No.; <br />or PO Box No. :376 I w ` 9 <br />------ <br />.. <br /> <br />Q <br /> City, State, ZIP+4 c _y ce <br />orm 3800. August r, RV 6//,S- <br /> <br />• Complete items 1, 2, and 3. Also complete A <br />item 4 If Restricted-Delivery is desired. x <br />• Rri yowur name and address on the reverse <br />sr5at e can return the card to you. B.' <br />• Attach this card to the back of the mailpiece; <br />or on the front if space permits. <br />1. Article Addressed to: <br />/Ir. 1es Z-wV e'i <br />376Ir 1A1G2 3p <br />z q -fbL,, C D $'otdlS <br /> <br />(Printed Name) I C. <br />11 <br />•?-2ooI-C>8'S <br />a..4t, M--? <br />L241L <br />?O I <br />1 P kM3 <br />Delivery <br />D. Is delivery address?'different from item t' ? Yes <br />If YES, enter delivery address below: ? No <br /> <br />3. Service Type <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 />2. Article Number 7009 2820 0003 5701 4675 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Fletum Receipt 10259 s?ge x?1 <br />