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D 0 • • i 0 � <br /> Complete items 1. 2, and 3.Also compiete A. ignawre <br /> item 4 if Restricted Delivery is desired. ❑ agent <br /> Print your name and address on the reverse ❑ Addressee <br /> SO th8t w2 c8n �0turn the Card to yOU. g, eceived by(Prinfed Name) C. ate of 4etivery <br /> Aitach this card to the back of the mailpiece, r-_, <br /> or on the front if space permits. �'� -' <br /> D. Is delivery address different from item 1? ❑ Yes <br /> Article Addressed to: If YES,enter delivery address below: � No <br /> /1��IlU'!? �. SC�i?�Li ff" <br /> �(7 1'�l�Ytv► A-�f'� �Y <br /> /`v�` `�� �v�� �� ��� 3. ServiceType <br /> �Certified Mail ❑ Express Mail � <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Exfra Fee) ❑ Yes <br /> ArticleNumber 7p02 241� �0�2 9881 3�72 <br /> (Transfer from� <br /> � Form 3811,August 2001 Domestic Return Receipt to25ss-oz-nn-t5ao <br /> � � � ��� �� ��-� - �-, ,� �. ���� .�-� �� � _ <br /> � � <br /> � c � ���� l���t� ��: <br /> �?= � - �� - - s ►�.-�. <br /> �C� v'�' �Y�C,�_.�c�\ 1 � ' �� � <br /> � • � � � � . <br /> ■ Complete items 1, 2, ar,r ; A:s:. �on�,plete A- �'i�,���.r��e � <br /> item 4 if Restricted Delivery is desired. � , ❑ Agent <br /> ■ Print your name and address on the reverse �.- �' ` �Addressee <br /> so that we can return the card to you. g, eceived by(Prinied Name) C. ate of�f elfvery <br /> ■ Attach this card to the back of the mailpiece, , __ , <br /> or on the front if space permits. �� ' ��°�`� /�f� <br /> D. Is delivery address different from item 1? ❑ Yes <br /> 1. Article Addressed to: If YES,enter de�ivery address below: ❑ No <br /> �1/t t�1lC/'1� �. SC�►I'vct��" <br /> �7r� l�J�t�► �-✓/v� �� <br /> /�/!�V v��i l�� ���� 3. Service Type <br /> Certified Mail <br /> ❑ egistered � � <br /> ❑ �nsured Mail rl..l � ' ' <br /> � �. • <br /> 4. Restricted Delivery p - <br /> m <br /> 2. ArticleNumber 7pp2 241� aaa2 9881 3�72 � ssww� ' �. �� � � <br /> (Transfer from< � �,r,,/►��J�/t�',�Y�,� <br /> i.� �tf w-- <br /> PS Form 3811,August 2001 Domestic Return Receipt `� -j �y <br /> � Postage $ ��J� M� <br /> � Certified Fee Z� �v ,l �P� ,�P�-8AY M� <br /> p ?� �� ark <br /> Retum Reciept Fee � ►� <br /> � (Endorsement Required) �' � Y U � �oo� <br /> O Restricted Delivery Fee � � <br /> � (Endorsement Requved) V �r'�� / <br /> � Total Postage&Fees $ `7� 2 V /`,' <br /> I � <br /> f1J <br /> � � SentTo,„ll/'I�� �' ����� �. <br /> vv <br /> ---------------------------------------------------------------------------------------- <br /> f`- Street,ApC No.; ��� �/oY� � �� <br /> � � o�PO Box No. /V <br /> - - -----._' <br /> --'-------------'-------- �------------------------ <br /> �;�ys�e�a:ZIP+4MDUnd M 53�0� <br /> :,, - „ <br />