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. . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Sic�nawre, ,, • <br /> item 4 if Restricted Delivery is desired. � t ,�f�, ❑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. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �`��`,`�� � Q ���� <br /> or on the front if space permits. �� <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. F�rticie Addressed to: If YES,enter delivery address below: ❑No <br /> Er►K. On�ev�. r.�Pau,��nK.e,� <br /> �� Lyr��. l�� <br /> W�, ��,n�1M� 5��, 3. Service Type <br /> �L-� Y'` �Certified Mail ❑Express Mail <br /> ��Cj`Registered ❑ Return ReceiptforMerchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Deliver�/1(Extra Fee) ❑Yes <br /> 2. Artic <br /> (Trar <br /> PS For . . , �2sss-o2-M-�sao <br /> . � , ��� . <br /> � <br /> - . . <br /> m .. . . <br /> �7 <br /> � <br /> �' � ��' r? �; �.; <br /> Q' � �,. � <br /> � rr�,� � <br /> Q' Postage $ i ! �-- <br /> r-� /0 Certitied Fee 2 �'O w � <br /> � Return Recelpt Fee �p`a.s,tmar�o <br /> � (Endorsement ReqWred) 2. � O�O� `►�erb <br /> 0 <br /> Restricted Delivery Fee <br /> p (Endorsement Requlred) <br /> flJ �,fy'/���— <br /> OTotal Postage&Fees $ 5.5 4 "�Y �.1�!�� <br /> oSent,jo , <br /> ---����--6Y1K¢.�'1--q"---�-�----�---l---Q�Y.�.�'1----------------- <br /> p Shee A t. o.; <br /> -- <br /> N or P � <br /> �y�-e------- �------ .- <br /> -------- . ,- -- -- -- - ------------------------------- <br /> City,Stat hZIP+'n ���1 <br /> \N L�A <br /> :� �1. <br />