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s� �r <br /> . . . . . . . <br /> ■ Complete items 1,�,�nd 3.Also complete A. Signature <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. B. eceived by(Printed Name) C. Date oi Delivery <br /> ■ Attach this card to the back of the mailpiece, �eJs�j� <br /> or on the front if space permits. ���f� <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> 1. Arti�;le Addressed to: It YES,enter delivery address below: ❑ No <br /> �4n K-c� �'mne�'�t:� N I4 <br /> 40o Na�ho�ai way 3. Serv' eType <br /> Certified Mail ❑Eupress Mail <br /> SI�( ` ►�I I� � ❑Registered ❑Return Receipt for Merohandise <br /> v ❑ Insured Mail ❑C.O.D. <br /> 5— . Restricted Delivery7(Extra Fee) ❑Yes <br /> 2. Artic�eNumber 7pp7 p220 0�00 1987 7642 <br /> (Transfer irom service/abel) <br /> PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540 <br /> � t15�C�� G� <br /> • • � - <br /> . . � _ <br /> �, � - - : <br /> �. .. . <br /> .� <br /> �` � � ��� �� <br /> , � �� <br /> � <br /> � ,�5 <br /> Q"' Postage $ <br /> r� n <br /> Certified Fee 2,`�1 � ppstmark <br /> p �1 <br /> � Return Receipt Fee �•� Here <br /> O (Frdorsement Required) � <br /> Restricted Delivery Fee <br /> p (Endorsement Required) <br /> f1J L,� <br /> N Totai Postage&Fees � ����.J <br /> � ------' <br /> ___-------- <br /> � SenJ�T9�� � <br /> p ' �.ivl �cQ.__N I�-------------------------- <br /> IL �__.P�"• _ �� <br /> � � N�� way -- _ - <br /> �s;m� .._ ,.. � <br />