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�. <br /> E'• 1(v3 G� <br /> � � . . <br /> . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. � �- ❑Agent <br /> ■ Print your name and address on the reverse X •-., - i�G ❑Addressee <br /> so that we can return the card to you. g, Received 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 /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> G�i mor �.c . <br /> � <br /> �o0b Tr.c,hnolcx�y l�r. <br /> .� -�^, 3. S rvice Type <br /> 0��1�N/� �O �I�]�y JQ� �ertified Mail ❑Express Mail <br /> � V► � �`'I <br /> Registered ❑Return Receipt for Merohandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transferiromservicelabel 7002 051� 00�1 63�6 0223 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-o2M-i54o <br /> • � , _ _ ; �`� <br /> �� <br /> �. • - <br /> m �:- , ._.._._.�.�_.:. , <br /> ru <br /> ru <br /> 0 <br /> � Postage � 5 � �} n\�+ B�7 y _. . . ' <br /> ! �� � <br /> m �—��,�.,, <br /> ,_,p Certified Pee ��� l <br /> � Postmark <br /> � Return Receipt Fee uH O 009 1 <br /> p ;Endorsement Required) 2.�� �� , <br /> � P,estricted Delivery Fee <br /> � iEndor�, ^nt Required) �� <br /> � .55q' S g�5 '�'/ <br /> � Total Postage&Fees '� � ' <br /> ' __ <br /> ul _..._ . _. ._ _ __ _._ <br /> 0 Sent To . <br /> -- G l�no T�� -- - ------- <br /> f1J Street,Apt.No <br /> p or PO Box No.tppo h nolo �• <br /> o --- -- --- _ - - <br /> � �;ty.S�ate z'�� , ,11or� MO 3�' <br /> � <br />