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j~h1~ ~ CC,,e~~e ~ ~ ~a~~?'`°~iP'f <br />~_t~t8~_(o6 ~ <br />WV S~QG`Ct ~~/ <br />~~,~ ;-?a-~3 <br />D ~. b~-~ ~ <br />i_a~ ~3 <br />m <br />o ~Q~13138hermnr.n.., 9~e n_- __ __ r <br />S Postage $ , v <br />S <br />~ <br />Certitietl Fee <br />~ ~ <br />, <br />~ ( ' <br />Postmark <br /> <br />~ Return Receipt Fee <br />(Entlonement Required) ~ Here <br />~~1 T <br /> <br />O <br />O <br /> <br />Res[rictetl Delivery Fee ~ <br /> <br />(' <br />~t <br />l7 (Entlorsement Required) ~ <br />U <br /> <br />O <br />l <br />Total Postage 8 Fees <br />$ s,T~I _ <br />~ ~ ~~ e~ a <br />r <br />to S <br />t T <br />~ ~' <br />~ en <br />o <br />~ <br />~ <br />~~ <br />~ ~ <br />ELL <br />~"~ <br />-~ 4 <br /> <br /> <br />~ [ <br />- <br />-- <br />- <br />-- <br />- <br />- - = - <br />StMef Apt No; D / f~j ,~{+ <br />or PO ear No. <br />~~ <br />f <br />j) <br />,~~5~(%~ <br />3 <br />C <br />L <br />, <br />" <br />,` <br /> <br />O <br />N ~~~ <br />-- <br />--- <br />N• rate, ZIPa4 ---h - <br />~ <br />~ ~ ~ <br />$ -"' <br />-- <br />~`/" <br />-r-y- <br />/~,-/-/-~ <br />(~ <br />, O 06 ~ L <br />~ <br /> <br />' . <br />t <br />rr . <br />` <br />(/ <br />^ Complete items 1, 2, and 3. Also complete A. Received by (Please Print Cleary) B Date of Delivery <br />item 4 if Restricted Delivery is desired. f ._ <br />^ Print your name and address on the reverse <br />so that we can return the card to you. C. Signatpre <br />^ Attach this card to the back of the mailpiece, _X_~(~/ ~ Agent <br />or on the front if space permits. ^ Addressee <br />D. Is delivery address tlifferent from 8em 1? ^ Yes <br />1. A~~/rtiycy/l,~e~~A/(~dd~~ressed to: /~ If YES, enter delivery add ~ ^ No <br />i' f ~~~/~ / F~tC <br />~' C~. ~~ s~~ ~ ~~ ~~ <br />3. Service Type ~ ~/ <br />~~ SE}_ 1 ~ Certifietl Mail ss Mail J <br />^ ~ /(~' / lJ Registered ' ® eipt f~Merchandise <br />/~0 //,t`t~j, i, /~ ~`,~ 1. /~/ ~ ^ Insured Mail ^ C. . <br />`x`17 'C. ~ ~Y/`~D 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article NuO~~py /rorrLS~ c~~be/) OOD 5~ ~ l ~ ~ D~~~' <br />PS Formr!/3811, July 1999 / Domestic Retum Receipt tozses-oo-M-0952 <br />