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1 ,S. Postal Serv <br />CERTIFIED MAIL11., RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />delivery information visit our website at www.usps.comn <br />Postag <br />Certified Fee: <br />Return Receipt Fee: <br />Total Postage & Fees: <br />Restricted Delivery tee <br />(Endorsement Required) <br />► <br />Total Postage & Fees <br />' 1. Article Addressed to: <br />2. Article Number <br />(Transfer from service Gabe° ' <br />PS Form 3811, February 2004 <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 />3 1OC GNwk ed. ( 3 <br />Lo4e44 CO 7 <br />,$0.64., <br />(2/ 2.85 <br />/ <br />/ 0.30 ark, ' <br />9 e <br />$ � <br />' <br />• <br />SENDER: COMPLETE THIS SECTION <br />1 <br />Sent To <br />Street, Apt. No.; C" 1504 4 S) <br />or PO Box No. 34 A <br />City, State, ZIPr4 <br />t3 <br />v53Y <br />PS Form 3800. August 2006 <br />See Reverse for Instructions <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X_ <br />B. Received by (Printed Name r" C. Dap of elivery <br />t I I\A ∎V-9 ► r / /, <br />D. Is delivery address di rent from em 1? 0 es <br />If YES, enter delivery address below: ❑ No <br />3. O Type <br />' <br />Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 8322 <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />- M- a6- 2. 3 <br />- / / <br />c)}4,)/yL4,d <br />(22,e_43 <br />PA-14- <br />- C-r - t . QA4 <br />4- -0 D CMS <br />LKap. D°dt <br />//io <br />❑ Agent <br />❑ Addressee <br />❑ Yes <br />Domestic Return Receipt 102595 -02 -M -1540 <br />44 <br />