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Gm /~ <br />A. <br />d X- 5- o ~ <br />o ~ ,Q ~ G <br />y~ 1-1 ~ J e-In G P <br />P / V -^nn <br />F ~ ~~ Y Y~ <br />` ~~~v"I <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. 6 <br />^ Attach this card to the back of the mailpiec <br />or on the front if space permits. <br />1. Article Addressed to:T~~ ~. <br />r"~~bYRvICP~ G trrYP~ c~C ~SO +'t <br />~ ~- s-ao cot~N~-y 2d Ifi'3 <br />~~~-, , C~ 8/09 <br />d M - 2no 6 d <br />Agent <br />(P~nted Nanfe) ~ C. Date of <br />D. Is delivery address tliHerent from hem 11 ~ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type , <br />kS.Certified Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery.r (Petra Fee) ^ Yes ' <br />2. Article Number <br />(iiansrer rmm service tabs/) 7004 1350 X001 1636 9934 ', <br />PS Form 3811, Febntary 2004 Domestic Return Receipt foZ595-02-M~t5ae <br />~ ~~ <br />m ~ <br />(r .. <br />D- <br />.n ~ er, S <br />r^ ~r~'~"'9Z~ ~ 8- <br />~ Postage S ~j ~~C' V~r ~. <br />A ' ~ , Q :. <br />p o Cenhled~Fee ~ ~ ; <br />~ RaWm Retlepl Fee.„ ...~~ = P~'!, <br />(EMOrsemeM Ra7Wrerp-'_ ,~ `'J .r <br />~ Reatrlctetl Dalhrery Fee 1 G '~ <br />m (Ermersement aequlred) ;rS,PS ~d <br />Talal Postage 8 Fees <br />~ - C.v <br />0o ero,~~rQ^~ ~ ~__f/~ll d0.~'..7~tO~_/~:1.----'------- <br />(` s`se~ ilpi Hu.:-----~ L+^v~ ~Ou A --'- - " ~ d <br />orPD ear Na z , <br />ct4: amm. LPH .. ._ __._._____._•..~__....____ <br />I ----------------------- ---------------------.. <br />Ktr-, Ca ~dY <br />r. <br /> <br />