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rq (Domestic Mail • .• Providei, <br />Ln <br />Er , For delivery information visit <br />F��° �'A _ <br />Er $0.46 <br />ED postage: $3.10 <br />,a Certified Fee: $2,55 <br />E3 Return Receipt Fee: <br />Q(End <br />C3 (End( Total postage &Fees: <br />a <br />0 <br />E3 <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 mailplece, <br />or on the front if space permits. :mss <br />1. Article Addressed to: <br />-Sa mes Alao r► <br />LDS � Ire•, � ��5�� <br />�o:;> <br />i <br />�D 7 <br />. Aq. Z&13 - D �/�/ <br />7- 1z- /3 <br />v <br />ff> <br />pos <br />A Signature <br />❑0 Agent <br />X d'6' �CGCLLr?/jC� 1G Addressee <br />B. Received by (Printed Name) Date of Delivery <br />D. is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 9515 <br />(Transfer from service label) <br />PS Form 3$11, February 2004 Domestic Return Receipt 102595 -02 -M -154[ <br />"f CGS <br />