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fo 14 c'- <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X , <br />■ Print your name and address on the reverse <br />so that we can return the card to you. B. Received by (Printed <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address dif }ejent from i4em 1 ?' ❑Yes <br />If YES, enter delivery address below: ❑ No <br />1. Article Addressed to: <br />C,�.�saJ Exc�,,s•,ie� -� <br />3t�o9 N• C, t3 <br />1 <br />•(I)- 2ao ©` 15 <br />//- O <br />' FYI <br />JO <br />2- s <br />711� `, ee--tv" <br />❑ Agent <br />❑ Addre <br />ate of Del <br />3. <br />12tertifled Mail ❑ Express Mail <br />• Registered ❑ Return Receipt for Merchandise <br />• Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label, 7008 0 5 0 0 000 <br />0 5587 012 8 <br />Ps Form 3811 February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />W-1 <br />Po stal <br />CERTIFIED NIAILTLI RECEIPT <br />ru <br />( Domestic <br />..P <br />For delivery information visit our website at <br />www.usps.come <br />E3 <br />Postage: <br />$0.44 ` <br />,° <br />Certified Fee: <br />�r yL$2:80 <br />Ln <br />Return Receipt Fee: <br />$2.30 <br />C3 <br />(Fodor Total Postage & Fees: <br />=° $5.54 <br />M <br />Restricted Delivery Fee <br />(Endorsement Required) <br />r-3 <br />C3 <br />art <br />Total Postage & Fees <br />O <br />CD <br />Sent To <br />C3 <br />� <br />f`- <br />- -- -- . - --- ---------------------------- <br />Street, Apt No.; I q ^_ ( <br />3 <br />or PO Box No. �v ` N. C. t--- <br />Ctty State, Z %P +4 <br />LO -- - <br />cv <br />-- - - - - -- -- <br />3 <br />PS Form 3 800 . Au 2006 <br />See Reverse for Instructions <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X , <br />■ Print your name and address on the reverse <br />so that we can return the card to you. B. Received by (Printed <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address dif }ejent from i4em 1 ?' ❑Yes <br />If YES, enter delivery address below: ❑ No <br />1. Article Addressed to: <br />C,�.�saJ Exc�,,s•,ie� -� <br />3t�o9 N• C, t3 <br />1 <br />•(I)- 2ao ©` 15 <br />//- O <br />' FYI <br />JO <br />2- s <br />711� `, ee--tv" <br />❑ Agent <br />❑ Addre <br />ate of Del <br />3. <br />12tertifled Mail ❑ Express Mail <br />• Registered ❑ Return Receipt for Merchandise <br />• Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label, 7008 0 5 0 0 000 <br />0 5587 012 8 <br />Ps Form 3811 February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />W-1 <br />