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/�aac�2oo `1 <br />700 v OS,-)-o eQ �3 <br />qLO > �� <br />i Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />i 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 />Article Addressed to: <br />Pari, 6 -20 <br />e o n-0-z, <br />�OVQ <br />A. Received by (Please Print Clearly) B. D t o very <br />C. Sigpgtur <br />Article Number (Copy from service label) f <br />—1001) 059-0 001x` 9,,5 -7 a� <br />S Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />❑ Agent <br />X <br />Addressee <br />Is delivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />3. SServi e Type <br />!G Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />Article Number (Copy from service label) f <br />—1001) 059-0 001x` 9,,5 -7 a� <br />S Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />