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<br />ti <br />m <br />~ DMG•1313 She <br /> <br />rn Postage <br />S <br />~ Ceditietl Fee <br />,a <br />~ Return Receipt Fee <br /> (Endorsement Requiretl) <br />~ <br />O Restricted Delivery Fee <br />p (Endorsement Requiretl) <br />O Total Postage & Fees <br />O <br />m re9ciP <br />sp <br />" Na(P¢~(~C <br /> ( <br />~ <br />~ <br />~y <br />~ <br />2 <br />' <br />~ <br />~` <br />/ <br />I <br />1 <br />~ <br />, <br />_ ~ Q <br />1 <br />1 <br />1 <br />ef, <br />~Lor <br />fi <br />N~O <br />1P <br />~L <br />[- <br />~ ~ <br />\ <br />V~L! <br />l <br />Y <br /> <br />' O . <br />-. <br />. <br />. <br />-'ty State, I W <br />r <br /> r <br />• • • ^ <br />^ Complete items 7, 2, and 3. Also complete <br />item 4 it 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 Adtlressed [o: <br />MY ~,M N~,C\~~.qh~ <br />~,~~5\Cl'(K~ ~Q~ Eb ~~ <br />,p® ~QX 1Q12 <br />~~re.~Ke~nr~d~~w, ~0 ~~2~ <br />^ Agent <br />D. Is delivery a3i~ress d~H€ent hum Rem 1? ^ Ye: <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~{n, Certifed Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merohantlise <br />^ Insured Mail ^ C.C.D. <br />4. Restricted Delivery? (Extra Feel ~ yeS <br />^ <br />^ <br />.~ <br />2. Article N b r (Copy from service /abeQ ~ <br />~4`B~t X400 ~D015 1M-43 Q 232 <br />PS Form 3811, July 1999 Domestic Return Receipt 702595-00-M-0952 , <br />