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M •. . <br />For delivery ,n amp " <br />n Postage; _ <br />v <br />M Certified Fee: <br />o Return Receipt . $0'46 <br />eit Fe `� '$3.10 <br />oTotal Postage & F °$2.55 ` <br />Cl tE ees :... r, <br />O Restrictea w , <br />(Endorsement Requlred) <br />ED - <br />r-1 Total Postage & Fees <br />rl <br />Sent To �G��1 Sulis.icwt <br />- .........- / --------°°------ -- --- <br />Street, <br />"WNW <br />O or PO Box No O S O � - Dh V4 ST , <br />city State, ZIP+4 C 13 <br />• Complete items 1, 2, and 3. Also complete A Signat r <br />Item 4 if Restricted Delivery is desired. X E3 Agent <br />• Print your name and address on the reverse G'! ❑ Addressee <br />so that we can return the card to you. B. ed y (Printed Name) C. Date of D livery <br />• Attach this card to the back of the mailpiece,fl <br />or on the front if space permits. <br />D. Is delivery address different from Rem 1? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />7-odd sfA // /VQ A <br />5d NY. Da �rr�sov. �, <br />/ A7 3. Service Type <br />E'Certified Mail 13 Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service label) 7010 1 0 6 0 0001 0 9 3 6 5463_________ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02- M -154C <br />. M _ 2© ©3 _o7, <br />• 71; 4?113 <br />49 e <br />k: iGdd <br />?9k <br />