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r � <br /> E: i c.Ke�txn sfi�' <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Sigqeture <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X � ""�`�"�� ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C.pat of Delivery <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? es <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> �-r-� A�u�me�tt �tr�� <br /> Ido� Twelvz C�o� Cen�Cr <br /> 3. Service Type <br /> ���� �� �@ertified Mail ❑Express Mail <br /> ❑Registered ❑Retum Receipt for Merchandise <br /> WaY�� �� �q� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliver}rl(Exira Fee) ❑Yes <br /> 2, Ar <br /> � <br /> � <br /> ; P$F��........ .,. .....__., ---� ----- , 102595-02-M-1540 <br /> � <br /> ■ � <br /> � , ' � <br /> � �� I <br /> �' _. , � F- �r ��,� �. �.`�• <br /> �, $�.A. �i ;�. �,� . <br /> � R� �� <br /> �' Postage $ r� <br /> � �� <br /> Certlfied Fee <br /> p •� � Postmerk � <br /> 0 Return Recelpt Fee � 2�HQ(e <br /> � �Endorsement Required) V �O�I <br /> O � <br /> Restricted Dellvery Fee �� � <br /> � (Endorsement Required) <br /> fU <br /> N Total Postage&Fees $ �� ��. �_ 5�3�3 <br /> � �.- — <br /> _ _—__—___ _..r <br /> OSen�1�l LJ�.1/N!�I,If�!±_� �r��-�._..--------- -- <br /> O v <br /> � I�Ot TwCIVc. OO�J� C�cYt�G' - ---- ---1415-------- <br /> W4�z6lf� m� `�I <br /> �' <br />