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C- I G~ z-~ 5 5 ~~-S <br />~~o~ <br />~,~ <br /> U.S . Post al Ser vice. ~~ <br />' CE RTIF IED MAIL r~n RECE IPT <br /> <br /> (Do mestic M ail Only ; No In surance Cov erage P rovided) <br /> <br />Lh~G•~3~er~n~li~m <br />Postage S <br />a~ <br />°o Postage: $.37 <br />v ~eriified Fee: $2.30 <br />a Return Receipt Fee: <br />n' •TOtal Postage & Fees: <br />o r o ~.p <br />o U..f <br />M1 .. ..i.~ No.: <br />--- <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 />r- <br />~!~Article Add@ dto: <br />~ r l~lJlJ 11 <br />"Pot ~~~yS~ <br />~I'~~ce.ICO ~)ZZ(o <br />C~ <br />$1.75(_ y <br />$4.42\ <br />2~5 <br />A. Signature <br />C ent <br />X e <br />B. R ei d by Printed Name) C. D df~ ivery <br />D. Is delivery dress`tlrfFerent m3~j ^ Yes <br />If VES, ent delivery atldress below5 U0~1 Np <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? (Extra Fee) ^ yes <br />2. Article Number <br />(Transfer from serv/ce label 7004 1350 0001 1635 8259 <br />•~PS Fb[mi38r1 'i,~eb~eary 2004 Domestic Return Receipt tozses-02M-ts4o. <br />