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~rMw, cb m, efs <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desiretl. <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 Adtlressad to: <br />mK . /LlcN~4 ~ua,~y <br />~ ~~D GtiA~~L <br />f~ 0 /~o X 5G 6 <br />ffa-tGH,~/S$ Co ~/5~/~ <br />~ r~ <br />~/~~./~~ <br />• ~, ~,,~~ <br />~~ <br />~~~, ~ ~~ ~ ~q ~a ~ <br />~~: ~~ ~ <br />G ~~v~P <br />A. Signature /1 ///~~J <br />X -7_ / / ~/' ^ Agent <br />~~~'(/~L71 /~/A~%~ Addressee <br />B. Received by'(Pihr .Nevfb~ (Date of Delivery <br />Is d~14 er}~ ayQres4 tlifferent tror7t~tert614 U Yes <br />It Y~S~', e~41<r delivery address below: ~~ No <br />Jiiii i 2 ?04S <br />3. Servic Type ~~ <br />^ Cartm ail ~ ~~eturh I <br />^ Registered Receipt for Memhantllse <br />^ Insured Mail ~ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ y~ <br />2. Article Number 7004 135 0001 1636 7954 <br />(ifansfer /rom service iabeq <br />PS Form 3811, February 2004 Domestic Retum Receipt to25s5-o2-M-ts4o <br />