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. <br /> � � ' ' �,'n/� <br /> o }`�' I <br /> � i. • . ..: <br /> ..0 <br /> f`- <br /> 0' ;i � � � <br /> � <br /> � Postage $ � <br /> � . <br /> � <br /> � CeRified Fee 2 �'� <br /> � Retum Receipt Fee C Postmark <br /> � (Endorsement Required) �,� � Here <br /> Restricted Delivery Fee <br /> p (Endorsement Required) ; <br /> / <br /> � 55� �` <br /> O Total Postage&Fees � �y��,,,r� <br /> � Sent To <br /> � --------�I'�ane---q-.K��fi n�---►�udd------------------- <br /> O Street,ilpt IVo <br /> �. o�Po Bo��---�q�''�---��.�--------------------------------- <br /> City,State ZIP+4 � �� <br /> :�� ��. <br /> � � <br /> ■ Comple � <br /> item 4 if Restricted Delivery is desired. `� y �..gent <br /> ■ Print your name and address on the reverse ��1 ❑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, ��_�_�+� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> ���-�--- ��aS�� �� <br /> ""�I �r^� �� 3. Service Type <br /> � � i�/� w r `��1�a,C�� n ❑Certifled Mail ❑Express Mail <br /> �(� �r t Iv ��Sc�til� ❑Registered ❑Retum Receipt for Merchandise <br /> ' `1 <br /> `J ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7p07 0220 00�0 1989 764� <br /> (fransfer from service IabelJ <br /> PS Form 3811,February 2004 Domestic Retum Receipt 102595-02-M-1540 <br />