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UNITED STATES POSTAL SERViCE � lass Mait
� e 8�Fees Paid
. ep.�r�t No.G-10
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• Sender: Please print yaur name, addr �;� nd ZIP±�# in�i�ox•
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!'; Ci�i('Dtrd T�ll�n�i' .
�„ �; k.ea�s[er Uf'1,��� "���•asbau��;
v�lls&Clerk c�fthe t)}rc,har�s'Court
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t t.:.�,�,►-t17o��se Square,l�n�,r�n 1 t)2�
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■ Compfete items 1,2,and 3.Alsa camplete A. Signature
item 4 if Restricted Delivery is desired. ❑Agent
■ Print yaur name and address an the reverse X� ��'��, ❑Addressee
sa that we can return the card ta yau. g. Receive (Printed-Name) r=�of Del'very
■ Attach this card to the back of the mailpr`ece, , �� /��� f
o r a n t h e f ro n t i f s p a c e p e r m i t s. �
D. !s delivery address different fram item 1? ❑Yes
1, Article Addressed to: If YES,enter delivery address belaw: ❑Na
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3. Service Type
, f� ��iL� �� 1�,,�!U I�ert�ed Mail ❑F�cpress Mail
�� ❑Registered ❑Retum Receipt for Merchand�se
❑insured Mait ❑C.CJ.D.
4. Restrlcted Delivery?(Extra Fee) ❑Yes
2' a�'��$N"�,� ?p�,�, 2970 CI[]�C] 4696 3962
(Transfer fram servlce labe!)
; Ps Form 3811,February 2004 Domestic Retum Receipt i02595-02-M-1540
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