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<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 Addressetl to: <br />L~Sc>?C ~ ~'O <br />~\ 805"~ <br />2. <br />3811, ~Dly tsss <br />Received by (Please Print C(earry) ~ B. Date of Delivery <br />C. Sig re <br />D. Is delivery address different from item tt ^ Yes <br />If YES, enter tlelivery adtlress below: ~ No <br />3. Service Type <br />~[Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (EM2 Fee) ^ Yes <br />1~ ~ <br />Domestic Retum Receipt <br />,.D <br />O- <br />,~ DMG~.1313 Sherman. Rm. 215. ngnvar en anm~ <br />R7 Postage $ <br />r ti$LU, <br />V <br />S <br />~ <br />,~ C¢rti}ied Fee ~ . <br />t 1\ <br />- ` <br />`~ -prymark ~~, <br />' Return Receip[ Fee t ~J!'.Ny~ 1 <br />t19 (Endorsement Required) ,. ?~ <br />A <br />' ~ <br />Q <br />Restricted Delivery Fee <br />(Endorsement Required) <br />t ~ ~~ <br /> <br />P <br />. O <br />D Total Postage S Fees <br />Rl I` e (Pt.CJ{fPYYnnfaCN yj <br />C <br />n~ <br />I <br />t <br />H <br />~ h (to be co~letCN~l Q <br />rent ~/1 <br /> _ <br />_ <br />_ <br />_ <br />_ <br />S[ L G N 'or BoxMo. - <br />---- -~----------~-~ ~ r <br /> <br />N <br />Ci ,State ZIPaO ~ ~ ~ ~ •- --- -- <br />.~ ©' - .ry / O [ <br />tj`" <br />J <br />~ :11 ttt -- <br /> <br />102595-00-M-0952 <br />