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� • . . <br /> . . . <br /> ■ Complete iter:� ;, �, a��u ,s.Hlso complete Si atur <br /> item 4 if Restricted Delivery is desired. � �� �Y 1'1''� ❑Agent <br /> ■ Print your name and address on the reverse ���� ❑A dressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, e• ceiv d by( rinre a � C. ate Deiivery <br /> or on the front if space permits. ` <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> �2b (3�S � � ' l�s Pe I <br /> � J �j `-'4� �C1 C�C� �v� <br /> , � C ,/ Se e Type <br /> W � � �/7 I� ✓�� ertified Mail ❑ xpress Mail <br /> ` j ❑ Registered �eturn Receipt for Merchandise <br /> � .] 3 � / ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑ Yes <br /> 2. Article Number <br /> (T�ansfer from service label) 7 0�2 2 41� ��0 2 9 8 81 3 2 01 <br /> PS Form 381 1,August 2001 Domestic Return Receipt 702595-02-M-1540 <br /> . � <br /> � � � <br /> O <br /> IU �• • <br /> m <br /> w� e a�; �a 1,.� <br /> � Postage $ ��� orr <br /> � 4 � <br /> OCertified Fee � �`� ".. � � <br /> l.J ys <br /> 0 Return Reciept Fee �ostmaAc J. <br /> (Endorsement Required) � � Here, -9�� <br /> � Restricted Delivery Fee � � <br /> r-� (Endorsement Required) �. �� <br /> � , � <br /> � �Q <br /> Total Postage&Fees $ �-(, �-/� r � ' �f <br /> �lJ � .�., <br /> p Sent To <br /> . <br /> � 1 0►�_c�s�- �- G.�,v,�_i�z'�--/�-�C'-�--- <br /> � . <br /> �' Sfieef,Ap[lVo.;-- --------------------•---- . 1,— <br /> or PO Box No. � -� <br /> ----------------- � �__Q D:.>,�_����_�f _ _�'!� <br /> City,State,ZlP+4 -'--�"' ' <br /> - - --------------- <br /> . :,, t�. A�f 7 Tf9 /�.�U �_ S 3�1 <br />