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C ia~~_~q ~ti~ <br />C U ~0 0 ~I~-0'0/~ I <br />~~c.c~. o-~ U i~o C~.on <br />REC~~v~o <br />~vN~S~ <br />U\Y\S"POiMt~eta\s esd Gge\~V <br />m <br />0 <br />~T <br />rr <br />~' PosWge S <br />-d <br />o Certifietl Fee 2 r ~ / <br />l <br /> <br />q Return Receipt Fee <br />(Entlorsement Required) <br />~ ~•C <br />0 <br />~ <br />O <br />Restricted Delivery Fee <br />(Entlorsement Requiretl) <br /> <br />~ <br />~~ <br />L7 Taal Postage 8 Faea $ ~ <br />( <br />~ l ~ ~ <br />f~ <br />.~ lpi~n Name (P^le~ase n t Cleyly) (to <br /> <br />O S <br />t <br />re <br />e <br />t, Apt. No; I'P/O Box No. <br />1 <br />~ {/ <br />Q <br />~ <br /> <br />p --_ <br />~ <br />fate, ZIP " <br />g~ <br />y <br />~ <br />~ <br />! I lQ r <br />7" <br />D <br />V Cj / <br />Rm.215, <br />Rostmark <br />;Here <br />JI/U~N ~ - <br />20pq Ur <br />i <br />^ Co(nplete 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 />1. Article Adtlressed to <br />I <br />CvLow~yo ~a~ Q~ti <br />5~ 3 ~ S`f-a~2e t~~G1 uq L3 <br />~Q~LP ~ CCU ~~ (o ~"~ <br />cleanyl <br />or <br />D. Is delivery address tlifferent trim item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Exrm Fee) ^ yes <br />2. Article Number (Copy from service label) <br />'raol~ ic~7a own f~C~s°I 9so8 <br />PS Form 3811, July 1999 Domestic Return Receipt 10259500-M-0952 <br />