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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signature �? "0 <br /> 11 <br /> item 4 if Restricted Delivery is desired. X 0 Agent <br /> • Print your name and address on the reverse 0 Addressee Tb / ca <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery UJ4111 <br /> • Attach this card to the back of the mailpiece, o <br /> or on the front if space permits. ^ <br /> D. Is delivery address different from item 1? 0 Yes Z � SxV� <br /> 1. Article Addressed to: c71 <br /> If YES,enter delivery address below: 0 No 01 <br /> sal <br /> iit0 JZir v q— w <br /> M <br /> N <br /> W <br /> 7ulu. Ar1rcws <br /> 2121 sKaciywood Ro <br /> 3. Se ice Type <br /> Certified Mail 0 Express Mail <br /> \,,���� �� `��� ❑Registered 0 Return Receipt for Merchandise <br /> W ❑ Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7007 0220 0000 1989 0214 <br /> (Transfer from service label) <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 t f <br /> iitiI. LI 4 .,6`. :q Iii <br /> _I= smorimailimmomm? oD ft <br /> 01 1•101•1111111111..11MINg <br /> .. <br /> : xmDy o <br /> 0 0 I 4:k a.cl it op CI =.1MMISIIIIMMIMMIEv <br /> Nall tingge cmi �.. o <br /> vd <br /> • v s ) E-i oriMIMInnim , <br /> CaD Z `n <br /> Z1'IL) <br /> • rU <br /> (D <br /> CI <br /> C) \ <br /> -'\ <br /> P z nrn <br /> oCJI m <br /> o NO <br /> Z <br /> 1I, go <br />