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rj <br /> } ` • • <br /> MH11 UE-E-MME: 00 IV 010:1 <br /> 1HOM Ir <br /> I J • - 111��� <br /> i ■ Complete items 1,2,and 3_ ��Iso com lete • • • <br /> "111—ff MEW <br /> item 4 if Restricted Deliverys p 11 <br /> A• Signature <br /> j ■ Print your ��desired, a <br /> dg on the reverse X ❑Agent i <br /> st that wWre rr+w7t <br /> ■ Attach this card to the back ——m=w-f the mailpiece, Y(Printed Name) C D 11 Addressee <br /> or Ont B. Received b <br /> he front if space perm -� ate of Delivery <br /> t <br />'k �' f• Article Addressed to; D. is delivery add <br /> !f YES,enter deli t from rtem 1? ❑Yes <br /> r <br /> DOUGLAS A�iSEI MAY 0 6 2004 <br /> �` ra & x4-gAxx:� ' <br /> i 896 3. Se Ice Type <br /> i 111,W_ WALNUT O-VE:P. 0 Regised-Maif—A� NTH EATH <br /> + � °U CA �` `— 68� Registered ❑ Return R V� rerchandise <br /> ❑Insured Mail ❑C.O,D. f <br /> t 2• Article Number 4. Restricted Delivery?(Extra Fee) <br /> I (transfer from serve <br /> 7' ' - 32 2032 D2f]Z 7626 Z&5q O Ye's <br /> t _ _ P5i Form i 381:1,qu <br /> ` gust 2p0 f <br /> " E i Domestic et n R ceir��f1, <br /> _� y �i �O �j(�• n //_ /� 2 02-M•1540 <br />