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. j <br /> � � • • • � <br /> ■ Complete aeii�5 ,,�, and 3.Also complete A nat re <br /> item 4 if Restricted Delivery is desired. � �-- ' � <br /> ■ Print your name and address on the reverse X (,�v'�' ,S � �` A9�t <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailpiece, B' e1v by(Printed Name) C. D Delivery <br /> or on the front if space permits. ��C. • �j <br /> 1. Article Addressed to: D. Is delivery address diff rent from kem 1? <br /> If YES,enter delivery address below: No <br /> R�IO�`�' �+• I�trdl <br /> Z3�I1 f3latrtQ.. �k <br /> 3. ice Type <br /> wa7,a{� �+�►�y�a� �Certifled Mail ❑Express Mail <br /> Y ❑Registered ❑Retum Recelpt for Merehandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restrlcted Deliver�/7(Exira Fee) �Y� <br /> 2. ArticleNumber �pp7 2680 00�2 3457 1938 <br /> (IFansfer irom servlce label) <br /> ; PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; <br /> • �,s;,,:.; <br /> ' ,�3-�F-eo�`7 <br /> . _ � . <br /> . W ��� � <br /> m '• • � . <br /> Q- �-. <br /> � - <br /> r� <br /> u-� <br /> � Postage S <br /> m <br /> rU <br /> Certitied Fee Z�� yc�TAL e,� <br /> � Return Receipt Fee Q� Postma � <br /> O (Endorsement Required) V �� Here Z <br /> O " <br /> Restricted Delivery Fee l�� � <br /> � (Endorsement Required) � ' <br /> � - <br /> ....� Total Postage&Fees $ 55 �j�>q O,O CU�w <br /> f1J S <br /> � Sent TU • <br /> � - ------�0----. f LL�) , t <br /> S`treef,Ap ----------""'-----�---------- <br /> O �(j/�ryp�[wJ "�'--------•------------------- <br /> � or PO B�F�-1.f •M� <br /> -------- ---- <br /> City St t, ..�1�"_ - '---__-_'_ _ '-_--'--""-"-"-'- <br /> :,� ��:� 1 <br />