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^Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
A.
^ Agent
~~--~, ^ Addressee
1. Article Addressed to:
WELLS LISA C
372 KERRSVILLE ROAD
CARIB I S LE PA 17 013
B. Received by (Printed Name) C. Date of
/ ~ y
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D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
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~~,
3. S rvice Type
• Certified Mail ^ Express Mail
Registered ^ Return Receipt for Merchandise
± ^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7004 1~5~ 0003 ?287 9154
(Transfer from service label) 102595-02-M-1540 ,
Domestic Return Receipt
PS Form 3811, February 2004
UNITED STATES POSTAL SERVICE
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZlP+4 in this box •
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~~ G er Strasbaugh
~`"' " *' R f Wills and Clerk of O hans' Court
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,,,~ .house Square
~ ~ ~ Carl`. ~ A 17013
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