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C'-S ( o iy <br />~-Izao-e_~i~vi~. <br />Le `t~-Y ~ ~ ~Ic~~r~ <br />~- <br />^ Gomplete items 1, 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 [he card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front ff space permits. <br />1. Article Addressed to: <br />13 fvC ~ Av1t~ tin `ltrn <br />Pt'~1~~,~.;`re ~ratc5sin(~ ~G-Z(, <br />N~zZ 6fyti~l S~~I 1201 . <br />~exil~~tur,~ ~<Y y0516 <br />2. Article Number <br />-; ''f8~7a9~rl,,~d..A9h7Deiaee0 <br />A S~a re ~ ~ <br />X ^ Agent <br />,, ~/te~dr ^Addressee <br />B.. ~ ~~//~/YV / (fit ' C. pate o~ ivery <br />D. Is delivery address differentWom item 1? ~ Yes <br />If YES, enter delivery atldress below: ^ No <br />3. Servk:e Typs <br />i~Certined Mall O Exptes5 Mall <br />^ Registered ^ Retum Receipt far Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMcted Delivery! (Extra Fee) ^Yas <br />i.4An nnnn 6431 6171 <br />PS Form 3811, February 2004 Domestic Return Recetpt <br />irr, <br /> S <br />U Post al Service,M <br /> . . CEIP <br /> CE RTIF R <br />IED MAI S, E <br />e <br /> <br />(Do <br />mestic M ur <br />ail Only; Provided) <br />~ ... _.._ ._...,es,.., .,isit our web site at www.usps.coma <br />m pA~1~3 ~ <br />O <br />n o Cazsged Fee <br />~ <br />~ Replm Redepl Fee <br />t~rulersemaM Required) <br />O <br />~ Resuteted OeMe7 Fee <br />(F1MOreemem Required) <br />..0 <br />'~ ~ Total Postage 8 Feee <br />m <br />d <br />e~t o ~n~, <br />~sp <br /> p <br />toz5ss-0am-tsao <br />