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��.�.a� �,;, � . <br /> . . . , . . . . <br /> ■ Compfete items i,2,ana 5.Aiso compfete A. Signature <br /> item 4 if Restricted Delivery is desired. X = �� ❑Agent <br /> ■ Print your name and address on the reverse r�� ❑Addressee <br /> so that we can return the card to you. g, R ived 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. <br /> D. is delivery address differerrt from item 11 ❑Yes <br /> 1. Ar�. ae Addressed to: If YES,enter delivery address below: ❑No <br /> ��.I �Ss� t-�- _ <br /> ��0 2�5'�' �e ti 3. Sarv Type <br /> � ��� �` / ��� Cert�ed Mail ❑Express Mail <br /> N ❑ Registered ❑ Return Receipt for Merohandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Exira Fee) ❑y� � <br /> 2. ArticleNumber �aa� 022Q �0�0 1989 OQ61 <br /> (Transfer from service laben <br /> PS Form 3811,February 2004 Domestic Return Receipt �ozss�-o2-M-�sao <br /> a <br /> . <br /> e� . �_ <br /> ! � m e <br /> .� e• ° � <br /> O - � <br /> O - <br /> � <br /> � � <br /> Q" Postege $ <br /> r� V �i. <br /> Certified Fee � �� <br /> 0 3.1p .,�,---,� �_.. <br /> p Retum Receipt Fee U�'� Postmark <br /> � (Endorsemsnt Required) 2�� �{i re�► a <br /> � Restricted Delivery r=ee �L� Lu�.7 <br /> (Endorsemern Requiredj <br /> O <br /> � Total Postage&pees <br /> � Cc l I � ` <br /> ,, <br /> �,: <br /> o sPG_�,�. , <br /> Sent To �" <br /> � �� <br /> 0 _..----._�_-'--"-'_'-'- <br /> Street, .._.._. ___ <br /> 0 o,P���p ��tr;---y-�-_---"-----N--------------------------------- <br /> � GitY,St�ri,��P+��__""";------(._I,�------- <br /> --- <br /> `�`t' 01�O1 YY►N S�a'------------------------ <br /> :�� ,.. <br />