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(7/ ` CA <br />N <br />O <br />N <br />r-R <br />0 <br />to <br />U.S. Postal ServiceTr, <br />CERTIFIED MAILT, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.como <br />Ti e a <br />Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />(Endo Total Postage & Fees: <br />Restricieu uenvery roc 1 <br />(Endorsement Required) <br />Total Postage & Fees $ <br />c <br />cp <br />- <br />Sent To <br />Street Apt. o.; <br />or PO Box No. 16 p ld <br />City, State, ZIP 4 F <br />Vto 5 <br />pS F 380044 <br />;,t .Q2( 3 <br />R ‹ r 0 for itlZaSrls = <br />SENDER: COMPLETE THIS SECTION <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 />Terry W - 1e <br />Crot &Utcyt. ,(?_owct <br />0 3.ox t � <br />%AA.° j t CO& 1 5'z <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />COMPLETE THIS SECTION ONDELIVERY <br />A. Signature <br />��0 Agent <br />❑ Addressee <br />B. Received Printed Name) , I C. Date of Delivery <br />1efy I)/21, <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service <br />V Certif . 'i <br />0 Register <br />0 Insured Ma <br />S Q .tNGs, <br />c z,O <br />7009 2820 0003 07 <br />Domestic Return Receipt <br />ft- 200 —0/6 <br />7/ <br />C <br />,1 1 <br />LMSECI <br />❑ Express Mai <br />0 Return Re • handise <br />AO.D <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />610712 etP <br />W <br />NP <br />102595 -02 -M -154 <br />1 <br />��e <br />