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e � i n <br /> � 2-=4�..�: , - <br /> , - ��� <br /> � . . �• ' - <br /> ■ Complete items 1, 2,an� :_.n,- complete -� �� �"'�'� �� � <br /> item 4 if Restricted::i�li�►�yrJ�deSJr��,4 X `���^i`�� �Agent <br /> ■ Print your name and adc�cess on the reverse Addressee <br /> s0 that we Can�8tii�rr���he�C�1'd to you. g.�teceive�by(pnnted am�� `� C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, U� ��,f �L M7 ^ ( <br /> or on the front if space permits. � <br /> D. is delivery address d'ifferent from ftem 17 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: �No <br /> U�,�hou►�" <br /> ��� . <br /> ��� w I IS' I�1 C� l�•V"� 3. Se ice TyPe <br /> �Certrfied Maii ❑Express Mail <br /> M�� �� ���� -❑Registered ❑Return Receipt for Merchandise` <br /> ❑ Insured Ma(I ❑C.O.D. <br /> 4. Restricted DeliveryT(Exira Fee) ❑Yes <br /> 2. ArticleNumber 7pp7 p220 �00� 1989 �351, <br /> (fransfer from servTce/abe� <br /> PS Form 3811,February 2004 Domestic Retum Rec:eipt �ozsss-o2-rn-�eao <br /> � , y 29t� �ccnw�Y � <br /> . � . � <br /> a ,. � . • . . ._ <br /> m _ ` . <br /> o ; <br /> :-� �_� —� r <br /> Q- ��. ` - - <br /> ��„ Postage � _�_ � +3� - <br /> l.j� g, <br /> � Gertified Fee 3,� I��� <br /> v V c�I ppgtmark a <br /> 0 7 ��ere <br /> � Hetum Receipt Fee �,�� �� <br /> 0 (Endorsement Reqwred) � � <br /> � Resvicted Delivery.Fee <br /> d <br /> (Endcrsement Reqwred) <br /> O --- <br /> ___ _ <br /> � Total Postage&Fees � �,�� <br /> fU -- <br /> --- ----------- <br /> � Sen� � •Umbe.hae_.��--------------------------------- <br /> o ,sq.�� , wi���c. 81vd___-------------------------------- <br /> �- ; �4 <br /> � ,,. <br /> 'M�`" ;, <br />