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M 20 10 _00130 <br />e_r i-i fied Mu.i 1 <br />• Complete items 1, 2, and 3. Also complete A. <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. g <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />v``z1Y� -Ij5> LI C <br />�mvix')CC <br />❑ Agent <br />�i�ed4jr (Printed Nqtne) I 0. Date �� livery <br />moo-- rc S <br />Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />`*Certified Mail ❑ 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 7012 3460 0000 6384 8307 <br />(transfer from service /aben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />r`• � . • <br />C3 <br />M For delivery information visit our website at www.usps.come <br />Co <br />CID Postage: <br />M Certified Fee: A <br />Return Receipt Fee: ; ; $ 0 <br />0 <br />C3 <br />p (End( Total Postage & Fees: �`` 89, ; <br />C3 Res •$'7.82 <br />O(Enda­­„,,.. . <br />= Total Postage &Fees <br />M <br />Sent To <br />v" -- - - - - -- <br />� - - - - -- <br />Street, Apt. N <br />or PO Box No. . <br />�6 CC, <br />l <br />----- °- --•------------- ---------------------- <br />Crty, State, ZlP +4 <br />Ld nnCkN , CC r6 S <br />PS Form 3800, August 2006 See Reverse for Instructions <br />