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. . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete • <br /> item 4 if Restricted Delivery is desired. X '' ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. . Rece by(Printed Name) Dat�of �livery <br /> ■ Attach this card to the back of the mailpiece, �( <br /> or on the front if space permits. �" <br /> D. Is delivery address different from item 1? Yes <br /> 1. 4rticle Addressed to: If YES,enter delivery address below: ❑ No <br /> l�u�ee� �� �r�'►� <br /> �� �� e��� � �d <br /> � 3. Service Type <br /> W(���� �� <<��� ❑Certified Mail ❑Express Mail <br /> v� <br /> ❑Registered ❑Retum Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricteci Delivery?(Extra Fee) ❑Yes <br /> 2. Artic <br /> (Trar <br /> �- <br /> PS For���.�c�i i� i cuivaiy�uv-e ..viiiw.w ncw�ii�.��,ci�.� .J2595-02-M-1540 <br /> • • l.J�' v <br /> ' � � • . <br /> m '• � <br /> � <br /> � <br /> o-� <br /> � <br /> � Postage $ /�6F''�'''`e'�� <br /> � Certified Fee / ,�!O �,I ��`"' 1 <br /> � O a�i� N <br /> � Return Receipt Fee � Postmark <br /> Q (Endorsement Required) 2.� r DEC`HQre.,,� W <br /> Restricted Delivery Fee <br /> p (Endorsement Required) �� 2 <br /> � �� ` <br /> � Total Postage R Fees y�j �� ,� <br /> O _ <br /> SentTo --- <br /> o __.._---- -I�<u,ir�---�.._D�rLj.. <br /> p Street,Apt.N, ;;--11 ' -1 <br /> --- ----------------•-- <br /> (�- orPOBoxNo��`q F(j/�nry�0( C---}�---- � <br /> ---------------- K4['� �-��� -�-- <br /> Ciry,State,ZI ----•-----•-------- <br /> i• . :,�'u�J�,t�� YVl1� � 1 <br />