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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. X �(7 ❑ ent <br /> • Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Receiv by(Printed Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, <br /> or on the front if space permits. N$, 4.. <br /> . 774,0 3a71, <br /> D. Is delivery-address diffeis6 from item 1? 0 Yes <br /> 1. Article Addressed to: If YES, .delivery address below: 0 No <br /> C,har1GS i1i90in `ba, <br /> MI5 W 15W LA - • <br /> ;�a�$ <br /> 2.o4. 4 "tY itvJ AR-. 3. S_ ervio Type - <br /> Q__e. <br /> �rtlff6d lg�afl`-- 6 6cpress Mail <br /> 0 Registered 0 Return Receipt for Merchandise <br /> t f•Cte \io( rry `� E(JJJ ❑Insured Mail ❑C.O.D. <br /> _ <br /> 7 Yes <br /> 2. Article <br /> (Transt <br /> PS Form _ . ,- ..._„95-02-M-1540 <br /> U.S. Postal Service <br /> CERTIFIED MAIL RECEIPT - <br /> (Domestic Mail Only;No Insurance Coverage Provided) . <br /> a <br /> .-o <br /> 0 <br /> 'J7 •Postage $ •-1 1 ��P,Y MA Lis <br /> I� <br /> Pi <br /> 2.�'SO �, <br /> _o Certified Fee Postrna ti‘ <br /> a Return Receipt Fee <br /> V1Here., <br /> w <br /> to (Endorsement Required) •■ 1,,,\A <br /> c3 Restricted Delivery Fee <br /> O (Endorsement Required) nG <br /> Total Postage&Fees �. / , U`S` <br /> `r) °�— W� 1• <br /> t uL <br /> ED Sent T Ave_ <br /> //���M <br /> ru Street, •t. o; <br /> p '+i )od JW _ <br /> or POmo <br /> =•• 1 1�/ <br /> O City,Stat- ZIP--4 u. <br /> Of Wt <br /> See Reverse for Instructions <br /> PS Form 380u.January 2001 _ <br />