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� � � • � � / <br /> ■ Complete items 1,2,and 3.Also complete Si re <br /> item 4 if Restricted Delivery is desired. X � � ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Recefved by(Printed Name) C. Date o Delivery <br /> � ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. � <br /> D. Is delivery address different from item 1? Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Eric P Wilson <br /> }� l 78l) Shadc���ood Road 3. service Type <br /> W�IV/et8 MN ?Ji91 [•��rt�edMail ❑ExpressMafl <br /> ❑Registered ❑Retum Recelpt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliveryl(ExVa Fee) ❑Yes <br /> 2. Artic�eNumber 7p07 022� 00�� 1990 9589 <br /> (Tiansfer/rom serv/ce label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> . � <br /> � , � w • <br /> Q� <br /> � I� I � �� <br /> �1'1 <br /> 0-' <br /> ; _ �� ,Y � �: <br /> O �F. <br /> 0-' I� „e <br /> � Postage $ 1 o ti.'+ ���(P`�'�!�y�2 <br /> � Certlfled Fee � � �� � <br /> A Postmark t3� <br /> � Retum Recelpt Fea M R W <br /> 0 (Endorsement Required) Z � ���g�p IV <br /> o c,, <br /> Restricted Dellvery Fee <br /> � (Endorsement Required) <br /> !LJ �/SPS <br /> � Total Postage&Fees � 5� 7 <br /> 0 <br /> � Sent To <br /> o Eric P Wilson <br /> ---------------- <br /> p Street,Apt.No.: ------------------ <br /> �.. o�PoeoXNo. 1780,Sliad���ood Road <br /> .,� - ---- - <br /> -----------------------_ Wa�zata M »,�)1 <br /> City,State,ZIP+4 � ' �� <br /> :�� ��. -- - - <br />