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COMPLETE • •MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signa <br /> item 4 if R t' ❑Agent <br /> ■ Print your th <br /> ress m ' everse X ❑Addressee <br /> so that we car t B. Received,by(Printed Name�� C. Date.of D livery <br /> ■ Attach this r o e back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address_ different from item 1? ❑ es <br /> 1. Article Addressed to: +'r- <br /> If YES,enter dehv ( Sri -ldp <br /> Fg—A(VA M S ` AA 0* I LCA li jU 11 ID I <br /> cG 1 6 2004 <br /> q- �tS 3Zo-l��l , <br /> 3. Service Type ; i t1NMENT HEALTH <br /> Certified Mail � I`�� IV <br /> I��I� <br /> ❑ Registered ❑ Return Receipt erchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7002 2030 0001 7624 6013 <br /> (Transfer from service label) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595.01-M-2509 <br /> k !� <br /> M <br /> • � E <br /> m m m.^0 <br /> m lL IL N - <br /> m � <br /> O <br /> t1 j 2.j <br /> CL <br /> • ¢c ,c m d <br /> w Emvm n 2 <br /> .E mE <br /> w �w F <br /> ET09 h29?- TOOO OE02 2002 <br />