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-I- s. • , <br />rq <br />Ln <br />M Postage: <br />117 Certified F <br />° Return ee: $0.46 <br />a Receipt Fee: $3.10 <br />° Re $2.55 <br />° (Endor. TOtai POSE <br />° Resin age & Fees: r <br />(Endorsemem .,,,,,.. '146.11 <br />° <br />.� <br />° <br />Total Postage &Fees <br />r� <br />Sent To <br />oG%- N> rrtp. C <br />rl°'•••------- ------------------ -• ----`------ --------`-- ---`----- ------- <br />° Street, No.: <br />r-3 or PO Box No yy� <br />C; y State, ZlP +4 <br />- - { <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 />Ma'-I< <br />01ef5e1' <br />A. Signature <br />X <br />B. Received by (Printed( <br />D. Is delivery address diffo <br />If YES, enter delivery a <br />. 0 %i o}c '} L G 3. S90ce Type <br />90 Celled Mail <br />/^ E3 Registered <br />IS�k L�- J t •f t e q ' ` © O O -fZ ❑ Insured Mail <br />•rn -zo03- <br />�:' lliarlc <br />R � ❑Agent i <br />Ucc ❑ Addressee <br />e) Y i C. Date of Delivery <br />❑ Yes <br />❑ No <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 010 1060 0001 0 9 3 6 6 514 <br />(Transfer from service label) -- -- - - - - -- - <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />