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litffll;M,,-~ <br />■ Complete items 1, 2, and 3. Also complete <br />it em 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />s o that we can return the card to you . <br />■ Attach this card to the back of the mailpiece, <br />o r on the front if space permits. <br />1. Article Addressed to: <br />J QW\D J'C)nt'\)()n <br />2.~l 1-Sou\\-h r,· \' lJlv,-e._. <br />S . Lou~ 'Thf\C.-, <br />D. delivery address different from item 1 ? <br />If YES, enter delivery address below: <br />□ Express Mail <br />/\AN 5:>4lv> <br />3. Service Type <br />~rtified Mai l <br />□ Registered <br />D Insured Mail <br />D Return Receipt for Merchandise <br />0 C.O.D. <br />4. Rest ricted Delivery? (Extra Fee) <br />2. Article Number <br />(Transfer from service label) 7002 0510 0001 6306 0292 <br />PS Form 381 1, February 2004 Domestic Return Receipt <br />nJ <br />0- <br />ru <br />CJ <br />...JJ <br />CJ <br />IT! <br />...JJ <br />..-=i <br />CJ <br />CJ <br />CJ <br />CJ <br />..-=i <br />U'J <br />Cert ified Fee <br />Re turn Rece ipt Fee ,--==-.:._!._ __ -I <br />(En d ors emen t Required) <br />Restricted Delivery Fee ,---=---=~=:.... _ _j <br />(En dorsement Required) <br />Total Postage & Fees $ <br />::::=:=-L..L-!.____j CJ Sent To <br />ru sireei,"Apt No :Jg~-----~~~ ~ or PO Box No .. , 2ZI 2-~, LIJ ~---1-j;."" ·---------------------- <br />£'-•City, State:-ziP+4_Sf ____ L.Q~l~~;~----~~~ ;------- <br />:11 . . ., L\..I ,-.. , ""' ~ .... -. <br />D Yes <br />102595-02-M-1540