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� R <br /> +E' Z"I db ��1e.� r�JG <br /> . . . . . . . <br /> ■ Complete items 1,2, and 3.Also complete A. s�gnature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse �� — ❑Addressee <br /> So that we C8n return the Card to yoU. B. Received by rinted 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 add ss different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> �I� M TC-�G u-�- <br /> � 10� V i�lni�-� �" <br /> 3. Service Type ` <br /> �� ��� �N �/� �-Eertified Mail ❑ Express Mail <br /> V�� � i r� ❑ Registered ❑ Return Receipt for Merchandise <br /> � ��n , ❑ Insured Mail ❑C.O.D. <br /> i <br /> �_��{ 4. Restricted Deliveryl(Extra FeeJ ❑Yes <br /> 2. ArticleNumber 7p02 051� 0��1 63�6 1152 <br /> (rransfer from service labeq <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1530 <br /> � � G��a�.1 <br /> � �1'y� <br /> .. - . . _ � <br /> � ;. _ <br /> �n <br /> a <br /> a <br /> � --- - -- <br /> p Postage � <br /> m <br /> ...0 Gertified Fee <br /> Postmark <br /> rl Return Receipt Fee � .� � � Here <br /> p (Endorsement Required) ,.�� <br /> � Restricted Delivery Fee � � <br /> � (Fndorsement Required) �.1 ,ay <br /> -—— ^ <br /> o $ 5 � <br /> � TotalPostage&Fees <br /> � --- _ . _. . _ <br /> p Sen ic ��� N-���� I <br /> ..-- - _ �� . ._._. . <br /> � Strttt.4F%t • �i <br /> � or PO Bon�c�� � � ��� �'� , <br /> p {. __ <br /> � �,�� , '�, � �t' �Yl p� �q0�3 <br /> :.. _ �> � <br /> , <br />