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. � r <br /> L �-- +'� '�' � <br /> � . . <br /> . . <br /> ■ Complete items 1,2,and 3.Also complete � ������n�,ture i <br /> item 4 if Restricted Delivery is desired. �,�..J y i�'�-' ❑Agent <br /> ■ Print your name and address on the reverse � ❑Addressee <br /> so that we can return the card to you. B, Received by(Printed Name) . Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, /! f '^ R^+ n �(�'� <br /> or on the front if space permits. <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> 1. ArtiGe Addressed to: If YES,enter delivery address below: ❑No <br /> �V10f�Qg�2 G�CC�1'Orl iG� <br /> '� t��io►� Sy�► i n� <br /> � _ 't <br /> ��O( L�/�Q,�. \//tif��ht1J S�� 3. Servi Type <br /> V�u V V1J ertifled Mail ❑Express Maii <br /> ` � C ❑Registered ❑Return Recefpt for Merchandisa <br /> J ❑Insured Mail ❑C.O.D. <br /> Da nv�I� ' � " •�� 4. Restricted DeliveryT(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7007 022� 000� 1989 805� <br /> (fransfer from service label) <br /> ; Ps Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540 <br /> a .�51Z LNilY�S�� . <br /> . , . _ <br /> . , ,�: _ <br /> k. .� . <br /> � ,� � � <br /> � �+zz, • = � ''�..�,• �• <br /> p^ c,� �3 v� �� #� �" <br /> �r� <br /> m � � Ay� <br /> Q' Postage 5 � `t� � <br /> rl —n -- � <br /> Q Certitied Fee L� � <br /> O Postm rt�� <br /> Retum Recelpt Fee . 2� ,t�(e 1He 1 <br /> Q (Endorsement Required) L�J u O 1� <br /> - Restricted Delivery Fee <br /> p (Endorsement Required) nl� <br /> �j � V <br /> � Total Postage&Fees $ 1 � �,�� <br /> O _� '. ' . <br /> __ _. <br /> _._----- _. _.,y ------� <br /> o �` Mor� . e_�lec-}YOtn iCS K-- - �t1�8----j <br /> o� - --------------- -S <br /> - <br /> � � �Qo� '�arst vc�rh���--5�G--a <br /> �, pernv�I i�e.� �t..; t <br />