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rtil (Domestic Only; No Insurance Coverage Provided) <br />.A <br />information _r For delivery <br />Il.l <br />. I OFFICIAL USE <br />CIO <br />_. <br />postage: <br />C: Certified Fee, $2`8d o, ark?? <br />2!3 are <br />Return Receipt Fee: <br />G) <br />$5'88 f- <br />Total postage & Fees: <br />iozai Postage & Fees <br />rn <br />C3 _11 <br />C3 I Street Apt <br />r`- or PO Box <br />r <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 this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Articl7 Addressed to. <br />?'14el?6ur^ Ps _IC <br />77Fs /?c t 1,,.1'e6L -&j S;i? <br />/G1 <br />A. S <br />I <br />Xi <br />18- Received by (Printed Name) <br />CL, I'-42,c <br />D. Is delivery address di nt from item 1? <br />If YES, enter delivery address below: <br />0 Agent <br />Date of Delivery <br />0 Yes <br />0 No <br />s. service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4_ RraetrlMn.i .- <br />2. Article <br />(Trannsfer from fer from service label) 7006 3450 0000 4880 2463 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />SL?O ?"