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L r � i <br /> • • ,! �W� � <br /> � /• � I �.• .... <br /> � <br /> � <br /> ^� � <br /> 1�/_� <br /> �I <br /> � Postage $ <br /> m <br /> � Certified Fee ygTAL e <br /> 0 Return Receipt Fee � Post� � <br /> O (Endorsement Required) �G� Here Z <br /> Aestricted Delivery Fee js � <br /> � (Endorsement Required) j t� <br /> � 5.5 GSA �J� ��'� <br /> .� Total Postage&Fees � <br /> _��.--- <br /> S <br /> Se� <br /> --- <br /> C`- .. <br /> � --- - •------�. <br /> OSP- ' "' ""'__""""__"' ___'.____"'._ <br /> �- ° � ��� rBV��LCIYu.. � �l10------ <br /> `� v�ay �ab` N ��� <br /> -A � <br /> , , �� .��. <br /> , . . . . <br /> . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signa <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. g, iv b (Prin N e) Da� e�€�y � <br /> ■ Attach this card to the back of the mailpiece, . <br /> or on the front if space permits. . <br /> . Is delivery d ifferent from ftem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> T'a u�.- <br /> �cu� <br /> �a� �,V�"' � `r �� 3. ice TYPe <br /> �tified Mail ❑Fxpress Mail <br /> W^`r�� 1��� `��� ❑Registered �Retum Receipt for Merchandise <br /> u V �y� ❑Insured Mail ❑C.O.D. <br /> � 4. Restrlcted Deliver)/T(F�ctra Fee) ❑Yes <br /> 2. ArticleNumber 7p07 2680 ���2 3457 1952 <br /> (rransfer from servke labei) <br /> PS Form 3811,February 2004 Domestic Retum Receipt io2sssoz-rn-�sao <br />