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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />in Print yottr nal teartc `addr s Wile reverse <br />so that die c8n"feturnthe and to jou. <br />■ Attach tHie card tolhe% back rof'the'mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />'C,,, <br />M � n , ,vl,.•r <br />14s6 <br />it A <br />2. Article Number <br />(Transfer from service label, <br />PS Form 3811, August 2( <br />V <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />i )s' Very addreas'ditrent from itemtl l u Ye: <br />If YES, enter delivery address below: ❑ No <br />OV 2 0 2002 <br />RONMENT HEALTH <br />3. Service Type <br />06tified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? fEyt c--' <br />7002 2030 00p3 <br />8788 8323 <br />Domestic Return Receipt <br />❑ Yes <br />102595-02-M-1540 <br />