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Permit #: i~ ~ - ,y Contidental?: . <br />Class: Type-Seq.:- a~,_/~o~- <br />From: /" _ To: <br />Doc. Name: <br />Doc. Date (if no date stamp):_ 9-/!/.-off <br />m <br />r- <br />~ DMG• 13 <br />u7 <br />~ <br />tr'I Postage <br />~ <br />m Certitietl Fee <br />~ Return Receipt Fee <br />~ (Entlorsement Requiretl) <br />~ ResMCted Delivery fee <br />p (Endorsement Required) <br />~ Total Postage 8 Fees <br />'n <br />~ Sent io ~~//nn__ JJ~~ <br />~ <br />~~ <br /> <br />p <br />~ <br />N YU' <br />~.~ <br />-- <br />S{(rJ~e/q~Aptyl~1o.~o,/r Po f <br />l...V.L`~'4/~ <br />City, StatesLP}a <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />item 4'rf 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 />~ C' _ " <br /> <br />A <br />X `%,n n ^ rent <br />~"~// ^ Addressee <br />B. Received by (Pdnted Name) Date lv <br />~ ~~ /~ <br />D. Is tlelivery address tlifrere[d from ite ~'4es <br />If YES, enter delivery atlAresS belo t ~~0 No \ <br /><~~~ <br />\\ j <br />3. Service Type <br />~emFletl Mail ^ l=xpress Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />'4. Res[mc[ed Delivery? (Extra Fee) ^ Yes l <br />2. Article Number - '7 ~~7o W~( }~~~ ~~ <br />(Transfer fiom service label / ~ 0 .3 <br />PS Form 3811, August toot Domestic Retum Receipt tozsssm~n.tsao <br />