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Postal <br /> MAIL,, <br /> •, <br /> 0Provide <br /> ru o <br /> � _ r <br /> N <br /> C3ESTE <br /> O mY <br /> -.n. I. � u u <br /> M Postage $ <br /> o.- <br /> \ <br /> fL Ce• ed Fee d• 17b�+.• Z <br /> 'ry/I{, 6 E <br /> !�a L~ L U <br /> 'm Receipt Fee Poshn2rN1 N N <br /> (Entloreement Required) Here -N a <br /> C3 T <br /> Restricted Delivery Fee $Q,QQ Cao N <br /> O (Endorsement Require d) _qo N 0 <br /> nC <br /> ru Total Postage&Fees 6.11$ 11/1. _ o <br /> ru n� <br /> rll <br /> • me <br /> rq <br /> P ?1Yu _ <br /> � o <br /> 171 0 <br /> 1a I <br /> „ s= L <br /> Postal <br /> CERTIFIED MAIL. RECEIPT <br /> LQ <br /> rq (Domestic <br /> ru <br /> � il <br /> Q__-- <br /> Posta $ ,TEAOS <br /> QA <br /> T <br /> 17 <br /> eniiled Fee <br /> N <br /> trat <br /> C3 R m Receipt Fee Posere <br /> C3 (End ement Required) C C�O Here <br /> Restricted Delivery FeeJC3 (EndorsementRequired)'� 12/05/ <br /> fU Total Postage 8 Fees <br /> R! CON, <br /> ru Sent To - <br /> 'a <br /> ED <br /> S(reet,APt.No.; q �j <br /> M1 or POBox No. <br /> City,State,21Pt4�G� C MI5 Q <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signture <br /> item 4 if Restricted Delivery is desired. " 0 Agent <br /> ■ Print your name and address on the reverse X ,.r, 0 Addressee <br /> so that we can return the card to you. B. Received by(Prfnted Name C. Datof psilvery <br /> ■ Attach this card to the back of the mailpiece, / yLlb <br /> or on the front if space permits. lY l <br /> 1. Article Addressed to: D. Is delivery address different from Item 17 0 Yes <br /> If YES,enter delivery address below: ❑ No <br /> .STCE lki� <br /> 1`618 E. wc12e1�0Y� <br /> SA-O Ck+-C)Y1, alk 5 265 3. Service Type <br /> V Certified Mall 13 Express Mail <br /> ' - 0 Registered etum Receipt for Merchandise <br /> 0 Insured Mail C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yee <br /> 2. Article Number 7012 2210 2202 408 6215 <br /> (transfer from service labet) <br /> PS Form 3811, February 2004 Domestic Return Receipt I02595-02-W540! <br />