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■ Complete items 1, <br /> item 4 if Restricted 2'and J.Also complete <br /> ' Print o Delivery is tlesired. A. Signature <br /> Y our name and address on the reverse Q <br /> so that we can return the ca <br /> • Attach this card to the to YOU. <br /> r 0 Agent <br /> or on the front if space back of the mlilpieca. B. Received ❑Addressee <br /> Permits. --rWr_ Y(Pnnted Name? <br /> 1 Article Addressed to: C. Da of Delivery <br /> D. Is delivery address tlrflerant f <br /> If YE r delive rorty item 17 O Yes <br /> ry address <br /> ATM JANET below: ❑No <br /> OLYMPIAN JV <br /> 2000 ALAMEDA DE LAS PDy� JUN <br /> SAN MATED CA 94403 STE 242 3. S r <br /> � XT <br /> ClIRssumd M IT�SCRV c`pt for ts <br /> 1 ail 0 C.O. erchandise <br /> 2. Article Number 4. Restricted Delivery?(Extra Fee <br /> (Tians/er from service ) ❑Yes <br /> Ps Form 3811,Aug usDt 71102 2030 Do0001 7624 p <br /> mestic Retum Receipt 9212 ICY <br /> 102595-01-M-25Qe <br /> 'Irk-Q I °11Ues C3 <br /> eBalea ru <br /> d elol <br /> 7Z aZS £0336 v3 0 n' <br /> SaDTlld S� aQ 9 NVS 'u•ai acerawe') w <br /> OOOZ Iod o%l ftewouua) <br /> dWd IO o <br /> aNVl N.LLV Peslueo C3 <br /> W0d E <br /> IS n `fib / P <br /> IU <br /> • , • IL <br /> 0 n' <br />