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. - �E: 111�t'Wk9''p�t'b'' <br /> ' ' C1"'� <br /> .. <br /> . � <br /> � <br /> � �-:__ <br /> m <br /> a <br /> � Posta9e � •�I'__ �S�P�-$A y� <br /> 0 <br /> m A � . <br /> � Cert��.f��.ed Fee / Post rk <br /> N' <br /> w •� Here <br /> � Aewm Receipt Fee '/ <br /> � ;Endorsement Fequired) I� ___ � �o �oQQ <br /> J <br /> � ResVicted Delivery Fee �� <br /> � (Endorsement Reqwred) _ _,___y <br /> C$ 5 _�`"'_�' ' .�' � <br /> o �� __,.., �, <br /> � � Total Postage&Fees ___:� <br /> _—__ <br /> ll7 --------- —----- <br /> � Sent`. '�/��/� <br /> � ��{1N�I'._ _�-- �� ----- - - — — - ------------ <br /> --- (� I,¢�C�►r'�- f}'1l� <br /> � sr�F,, .,.� �—l ��r�/� <br /> --- - -- <br /> p or� <br /> � Cii�_ `� u� �� <br /> �`' �� <br /> :�� �� <br /> � � • r <br /> � 1 • <br /> ■ Complete items 1,2,and 3.Also complete t+. signature ' �' -x"0 Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Pri Name) te of Delivery <br /> ■ Attach this card to the back of the mailpiece, �w� N � °1_� . C <br /> or on the front if space permits. <br /> D. Is delivery dress different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> �� �k��dr0. �'Cx1S1w r <br /> �Q5q u���- � �. <br /> --I_ 1 �G2y� 3. ServiceType <br /> ��� rnN �,�C� ified Mail ❑Express Mail . <br /> Registered ❑ Return Receipt for Merohandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(E�ctra Fee) ❑Yes _ <br /> 2. ArticlsNumber ?OO2 �51� 0001 6306 1374 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M•1540 <br />