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i ♦ <br /> a � � I <br /> , . / <br /> � .,. „�yiiatur@,. <br /> ■ Complete items 1,2,and 3.Also complete / __ ❑Agent <br /> item 4 if Restricted Delivery is desired. X "/' �. ^.qddressee <br /> ■ Print your name and address on the reverse B eceived by(Printed Name) C. Date of Delivery <br /> so that we can return the card to you. r�— �/v <br /> ■ Attach this card to the back of the mailpiece, , <br /> or on the front if space permits. p, �s delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> �,k.,� �lah�e.rl� �- <br /> �bl h N aY�as <br /> 1� � 1 n {(� ��d 3, rvice TyPe <br /> ���k��•�"' �Certified Mail ❑E�Wress Mail <br /> � � �_ *��� Registered ❑Retum Recelpt for Merchandise <br /> y�(] N ❑Insured Mail ❑C.O.D. <br /> . .�.� <br /> J 4. Restricted Delivery7(F�ctra Fee) ❑Yes <br /> 2. ArticleNumber 7�07 022� 00�0 199� 9732 <br /> (fransfer irom service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> 102595-02-M-1540 <br /> . � <br /> . � � . . <br /> na <br /> m .. . . . . <br /> r� , <br /> a, <br /> � . <br /> o �„ �q` �.: �.�� • , <br /> o, <br /> Q' Postege $ . � <br /> �� n �AY MN <br /> O Gertified Fee / .� Q.� S <br /> 4. <br /> � Retum Receipt Fee n•�O �(� Postmark s� <br /> Q (Endorsement Requlred) � � HeG 10,�o N�, <br /> Restricted Delivery Fee V <br /> SEP 3 w� <br /> � (Endorsement Required) <br /> 0 5.5 �SpS <br /> Total Postage&Fees $ <br /> o SB�°�eri �l0�lr)---------'�--�a,lah__Na.ha,a_- --------- <br /> � <br /> l�5.�6 - ------!-�--- ---L0.K.�_�5►�--- ---- <br /> � ��dCfG�... vr► n1 �xi�to .. <br /> ,,. <br />