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CONFInENTIAiL. <br />U.S. Postal Service,- <br />CERTIFIED MAIL,r., RECEIPT <br />in (Domestic <br />rD <br />M . A <br />o Postage: �'" $0.45 <br />Certified Fee: $2.95 <br />r-q Return Receipt Fee: $2.35 <br />0 <br />Q(Fodor. <br />Restd(Total Postage & Fees: $5.75 <br />C3 (Endors <br />Total Postage 8 Fees <br />r: <br />':I Lento O_i� 0) ? A <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 />la0 (,Jcnt t�a�knle< <br />7 A <br />B. Received by (Printe ame <br />C. Date of Delivery <br />D. Is delivery address different from item 1 ? ❑ Yes <br />If YES, tinter delivery address below: ❑ No <br />f0- 2o/ Z --d// <br />. 7-,Z 0 - I <br />ffAgent <br />V <br />oz- 4#�-a - <br />�rL� 3. Se ' eType <br />�T / 3 Certified Mall <br />0 Registered <br />❑ insured Mail <br />L'. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />D Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7010 1060 0001 0936 7856 <br />Domestic Return Receipt <br />❑ Yes <br />102595 -02 -M -1540 <br />'S <br />tj y/1 <br />N• <br />