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Permit #: -7I-~s~ Confidental?: <br />Class:f Type-Seq.: <br />Fram: To ~n ~ <br />Doc. Name: ov <br />Doc. Date (if no date stamp): ~ ~ d2- <br />0 <br />o- <br />S <br />rl <br />O <br />O- <br />Q- <br />m <br />a <br />O <br />O <br />O <br />S <br />m <br />D" <br />0 <br />r` <br />OAII6-1313 SAemtmr Rm. E15, <br />co aozo3 <br />Postage i $ <br />Certitietl Fee <br />Return Receipt Fee <br />(Entlemement Required) <br />Restrictetl Delivery Fee <br />(Endorsement Required) <br />7 <br />>, t.G s~ <br />``r``-~ <br />, ` ,v~ <br />Total Postage & Fees $ / ~ ~ ~ ~O ~ J~ <br />R 'ants ame Ple ePnnrCe rlyJ Qo Bc le <br />~q`, <br />Street Apt. No.; PO ~x o -- ----- --~~-- <br />t <br />ilyal ~r~ ?2tot1.-~oQ~. - -- <br />G~~r./~State. ZI +a <br />HeY9~L'YIa/7. ~ ~r~a <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 thls card to the back of the mailpiece, <br />or on the front if space permits. <br />7. Article Addressetl tom <br />/~~~1.~'"'f ?~nn~f ~'~nQ~ <br />//.5~ /~~-u~irX~".o~t <br />~~°U, c~ go~4~ <br />2. Article Number (Copy irom <br />A. Received by (Please Prin! CleeAy) i B. Date of Delivery <br />C. <br />Agent <br />D. Is derwery adtlress difterent fiom item 17 V Ye: <br />If YES, enter delivery address below: ^ No <br />3. Service Type ~~ ,,,,,,,,rrrrte~~~ <br />Certifietl Mail ^ Expre~R~iil <br />^ Registered R~ur ip for Merchandise <br />4. Restricted <br />RS Form 3811, July 1999 Domestic Retum Receipt tgzs9s-oo-M.ossz <br />