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C~ /~~` <br />N~V-3-a4~~ .~ <br />^ Complete items 1, 2, and 3. Also complete <br />hem 4 if Restricted Delivery is desired. <br />^ Print your name and address an the reverse <br />so that we can return the card to you. <br />^ Attach this rand to the back of the mailpiece, <br />or on the front if space pertniM. <br />1. A~rti~clfe A/d~/d7ressed to: ~ D <br />'~l~ Fr !w y A' N ~! ,t n <br />~~iL Lc~~N~t ~ tCUTf~1 t <br />/ 97 Z? /~,~vra l 5 ~ . <br />si~K~In.J~~ ~• <br />f7 <br />~1-i~~s- ~~~ <br />/~~/-coy oil <br />-~~ fi~ <br />A Signatu , <br />X ^ Agem <br />~1., VC n Addnjssee <br />8. Rece(ved by {Pnnted Name) C. of live <br />D, is delivery address dilfetent from hem t? ^ Yes <br />If YES, enter delivery address below: ^ No <br />^ Certilietl Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandlsa <br />p / I 14. Restricted Deliverf! (Extra Fee) ^ Yes ' <br />z. AdicleNuf 7022 2410 0005 9145 6419 <br />frransfera <br />PS Form 3811, August 2001 Domestic Retum Receipt to25ssoz-rn-tsab <br /> .~ <br />0' ~ ~ <br />~. • , <br />..D <br />~ <br /> <br /> ~~ <br />~ <br />0" Posw9e S <br />~ <br />O CerrNled Fee <br />' <br />o <br />0 e:~r ~n a°~q„nea) 7 <br /> <br />V rmm,,e~g v . <br /> <br />~~~ <br />O RlEndoreesteni R <br />~ <br />ed ~ (<~ <br />' <br />C <br />S eW <br />r <br />) ; , A ~ <br />PA --r <br />[ <br /> <br />(1.1 <br />Total Postage 6 Fees <br />$ <br />~ . ~'~~ t i <br />d> I <br />~ oa <br />~ \•y7. <br />o ~ 3~ ,. <br />C..7 ~ <br />