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A. signatUre
X ~Ufi'{UL t. lJ .. ~ Agent
~ Addressee
B. f\eC8Iv8d by ( PrInted Nam8) C. Date of Delivery
. Complete items 1. 2. and 3. Also complete
Item 4 If Restricted DelIvEll'Y is desired
. Print your name and addreSS on the ~verse
so that we can retum the card to you.
. Attach this card to the baCk of the mailpiece
or on the front If space permits. .
1. Article Addressed to:
c.(')'0S-~-'(""c.sz.... L G,,"o,\.)~r-
UJ~ ~ 0e-c'l:... \<-.c\
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O. Is deANery address djffelel1t from Item 17 0 Yes
If YES. enter delivery address beloW: l3 No
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3. serv\C81YP8
fJ certified Mall 0 express Mall
o Reg\slel'8d 0 RetUm ReCeIpt forMel'Ch8J'ldISEI
o Insured Mall 0 C.O.D.
4. ReStJiCted 0eIivefY7 (EXtT8 Fee) 0 Yes
7006 2760 0002 7407 6222
102595-02-t.\-1540
2. Art\CI8 Numbel'
(Transfer from SfI('IIce /ab8I1
PS Form 3811. February 2004
oomest'c RetUm Receipt
. Complete items 1. 2. and 3. AlSO complete
Item 4 If ReStricted DellveyY Is desired.
. Print your name and address on the reverse
SO that we can retum the card to you.
. AttaCh this card to the back of the mailpiece.
or on the front If space permits.
1. ArtiCle Addressed to:
-- "-I
~"'- ~Sc~ ~
L\ ~ . ~~r ~
._.1 ", ~--)
~\...S\-e. (/~ y,-O\ 3
3. service'
~:::' gi:'~lL--
o Ins6r8d Mail 00:0.0.
4. ~ 0eIivefY7 (EXtT8 Fee) 0 Yes
\I Ii, ,~_.' - . ,,"","" rl40?ilb~ ,
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2. ~,,: J,jJ,UJ.,,! II
pS Form 3811. February 2004