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Postal <br /> N <br /> CERTIFIED MAILT. RECEIPT <br /> o- (Domestic Mail Only; <br /> ro <br /> a �=. i , <br /> fY 1 Postage $ <br /> M <br /> O Certified Fee <br /> O Postmark <br /> O Return Reclept Fee Here <br /> (Endorsement Required) <br /> E:1 Restricted Delivery Fee <br /> --0 (Endorsement Required) <br /> fL <br /> f1J <br /> Total Postage&Fees <br /> M <br /> ED Sent To nn�u � )_ <br /> r— SfroeL Apt No.; <br /> -`-�-----� ------------------------------------------- <br /> or PO Box No. , V, v. � !l 1 � ab- <br /> City.State,ZIPr4 C4G/ <br /> --- --------------------- <br /> PS Form :00 June 2002 <br /> {Reverse for InstructionPit <br /> b <br /> COMPLETE •N COMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3.Also complete A.Ture <br /> item 4 if a r' t sired. ❑Agent <br /> ■ Print you n ffne <br /> re o t reverse X C3 Addressee <br /> so that c B. OLceived by(Printed Name) Date of Deliv <br /> ■ Attach this card to the back of the mailpiece, (� <br /> or on the front if space permits. L C <br /> D. Is delivery address different from item 1? 11 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> k't�Ier E5eQNts sfD'-zeS <br /> Gk-44� WW, <br /> Tr`4c,� C k t 53�6 3. Service Type <br /> ;((Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 22k0 0003 3185 8974 <br /> (Transfer from service label) 90- <br /> PS Form 381 1,August 2001 Domestic Return Receipt 102595-01111-M-2509 <br /> 1. <br />