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or �+'�V <br /> � . . . - <br /> �. . • <br /> �Omplete items 1,2,and 3.Also complete A• ` re � <br /> �em 4 if Restricted Delivery is desired. �ent <br /> �'rint your name and address on the reverse �' � �u Addressee <br /> so that we can return the card to you. g, iv by(Pri me)t C. Date of�elivery <br /> :�Attach this card to the back of the mailpiece, ` p �, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? �Yes <br /> I. Articie Addressed to: If YES,enter delivery address below: �No <br /> �N►c�ae� �. F iz9��bbon <br /> 1�OgS C�r�cz� '�o��t � 3. Service Type <br /> �CeRified Mail ❑Express Mail <br /> � M� `����1 n I ❑ Registered ❑Return Receipt for Merohandise <br /> way�a "� �, ❑Insured Mail ❑C.O.D. <br /> a ac+ctriMo.+nouvrarvo�Frrra Faw) �7 Yes <br /> 2, /�ICIE <br /> �f811S <br /> 595-02-M-1540 <br /> PS Forrr _ . . <br /> . <br /> . � <br /> � `.N�'�'�°``V�►�`'1�' . <br /> .. � ��. <br /> N <br /> m - <br /> ru <br /> a <br /> _o <br /> � Postage � � � S1Al B <br /> rn qy <br /> `� Certified Fee � <br /> 2•g�,' ,,..--��� <br /> �"'� Return Receipt Fee ^ Post ark <br /> O (Endorsement Required) / � .34 � � Here <br /> O � �� ���9 � <br /> � Restricted Delivery Fee J <br /> (Endorsement Required) <br /> O <br /> r� Total Postage&Fees �j s �/ � �/ <br /> �-1 �J4',;,s,. �3 <br /> O Sent To � ---. "�.� <br /> �---- ----------- rn���-� �7'. �i i Y1 <br /> - ----- - - -- -- --- - <br /> treet,qpf.No.;��� <br /> O p,� - - - - _ <br /> or PO Box No. � � �� <br /> � -------- -- - ---b� $ _eGL ' <br /> �, City,State,Z1P+4 ------_ ---_-- - <br /> i <br /> „ M� 1 <br />