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�: 25 C.herr �v� <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature {, �_,�V <br /> item 4 if Restricted Delivery is desired. �'� - - -T,I�L"�_� �A9ent <br /> ■ Print your name and address on the reverse X !> �r`�.L�` `� ❑Addressee <br /> so that we can return the card to you. B, Received by(Printed Name) C. D te of Delivery <br /> ■ Attach this card to the back of the mailpiece, c�, , ��.�� �`�L��i„ �, � 0 <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? � S <br /> 1. Article Addressed to: If YES,enter delivery address below; ❑ No <br /> �E- C,1�EA�noNS u-� <br /> `i./`� �� �l �� 3. ServiceType <br /> �p,�p ) y�(►^' �G,�]1 �ertified Mail ❑ Express Mail <br /> I�t�, I�r`IY L.JCJ'f� ❑ Registered ❑ReturnReceiptforMerchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7002 �510 �0�1 6306 OZ78 <br /> (fiansler irom servke IabeQ <br /> ; PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; <br /> • � , � �� <br /> ._,. .. , <br /> �. - • . <br /> �O <br /> ['- <br /> N <br /> O <br /> � IF • � <br /> � Postage � • �J' i-'"'"'� A <br /> m � -.� <br /> ,� Certified Fee / .�O � ' <br /> L Postmark <br /> a Return Receipt Fee �• �O 1 5[Uul! <br /> 0 (Endorsement Required) � • <br /> � Restricted Delivery Fee , i • <br /> � (Endorsement Required) ��"t�/ <br /> �:.,u,�,/ 2 <br /> 3ZJ <br /> � , $ 5 5 =55 <br /> ,..� Total Postage&Fees <br /> ----- <br /> � ------ -- � <br /> p Senf Tc <br /> -- — QI:-—C��AttOh1S L� — —_ _ _a <br /> f1J Street,Apt.N�.� <br /> 0 o,P�BoX No �35_ �X _�P�rt'h C.t _ <br /> o _ - - _ _ 1 <br /> - --- - - <br /> � City State,ZIP+4 �� ,A <br /> f� <br /> 11 <br />