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0 0 <br /> Postal <br /> 1:3 (Domestic Mail oCERTIFIED MAILTm RECEIPT <br /> Only, <br /> �- VP I A,fq <br /> ru <br /> Postage $ <br /> E3 Certified Fee <br /> qtr, Postmark <br /> E3 Retum Reclapt Fee <br /> (Endorsement Required) Here <br /> � Restricted Delivery Fee <br /> r1'•l (Endorsement Required) <br /> RJ Total Postage&Fees <br /> rL <br /> E3 Son[To <br /> d C� ` <br /> UAJ ' <br /> Jti Street,Apt No.; .............. - - ---•-•----------••^--- •-1-�---�-----••--- <br /> orPOBox No. <br /> --i--I ....- = °- -W <br /> PS Form e <br /> rr`ty,siaie ziP+4 S f �}-r Cil <br /> �4� <br /> ,June 2002 -See Reverse for Instructions <br /> SENDER: COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Si nature <br /> item 4 if Restricted Delivery is desired. ` a Agent <br /> ■ Print you es o h reverse ❑Add ssee <br /> so that w C n C t�y B. Received by(Printed Name) C; D e f slivery <br /> ■ Attach thi r lelac llpiece, <br /> or on the front if space permits. ' <br /> 1. Article Addressed to: D. Is delivery address different from item 1 ❑ Yes <br /> 4�p 2►'11.�+ t / If YES,enter delivery a bo � No <br /> Cori- WA f W f � <br /> E-`t '75 A 4 'p&r'� uv'4" AUG 2 0 2004 <br /> v ii� CA q 5 2 DC 3. Service Type r°� <br /> rt/ Certifi4j I"il 1 Mat <br /> ❑ Registered PER�SII r Merchandise <br /> ❑ Insured Mail ❑ C.O.Q. <br /> 4. Restricted Delivery?(Extra Fee) ❑ Yes <br /> 2. Article Number 7002 2030 2001 7624 6026 <br /> (Transfer from service labs!) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 <br /> S <br /> L <br />