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� � � <br /> � �.0 .3'6 Ut " �; ^ ll� - 1-3- ' -O�IS <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Sig ure <br /> item 4 if Restricted Delivery is clesired. X �Agent <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. g, Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. �-�Z�� <br /> D. Is delivery address different em 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: �No <br /> Jahn ��CrOn <br /> � �N��IVI��YI � 3. rviceTYPe <br /> �ified Mail ❑Express Mail <br /> 1'/� �����/, ���, t ``±/ �G"/ _ v�Registered ❑Retum Recetpt for Merchandise <br /> �� 't �µ....i�1 N ,T��;�� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliveryl(Extra Fee) ❑y� <br /> 2. ArticleNumber 7pQ7 2680 ���2 3457 1877 <br /> (Tiansfer from service IabeQ <br /> PS Form 3811,February 2004 Domestic Return Receipt �o2sss-oz-ne-isao <br /> � • ����" , <br /> � � � • o � , <br /> r" I� - I � <br /> C` <br /> �O - - <br /> � . <br /> � <br /> u'1 <br /> �- Postage � <br /> r�, �,�Q,L BA y� <br /> Certified Fee <br /> flJ � Postma <br /> O Return Receipt Fee U Here � <br /> p �Endarsement Required) �� �U� w <br /> � Restricted Delivery Fee 1 1?O�� N <br /> (Endorsement Requved) � <br /> 0 <br /> ,.� Total Postage&Fees $ 5 _ �SPS <br /> fl.l <br /> Sent 70 � �^ �`A <br /> I�-' (� <br /> O ------- K- - ------------�-'-�----- - -- -r`- ---- ------ --------------------- <br /> � Stre , � <br /> � orP . �� <br /> - ---------------- � -- --- — <br /> City tat ZIP+4 � <br /> � <br /> :� ��. <br />