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42-128 Po stal CERTIFIED MAIL,, RECEIPT m (Domestic Mail O nly; Ln For delivery information visit our websi ' te at www.usps-com,, J r ru ru Postage $ rtj rr1 Certified Fee d Return Receipt Fee P osun He a 1 C3 (Endorsement Required) �0 O Restricted Delivery Fee " C3 (Endorsement Required) Total Postage & Fees S '? ru Sent To L',C,�cD-To - - •------- - - - - -- rti or PO Box No. ��S i1 city, ra . Zip a PS Form 38 00 . August 2006 See Reverse for Instructions C OMPLETE • N COMPLETE THIS SECTION ON D ELIVERY ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent X ■ Print your name and address on the reverse a r 0 Addressee so that we can return the card to you. B. Received b Printed Name) D of Defi ery ■ Attach this card to the back of the mailpiece, or on the front if space perm' �7 D. s delivery aiddress different from itafn 1? e I . Article Addressed to: if YES, enter delivery address below: 0 No $' �� 3. Service Type ❑ Certified Mail 0 Express Mail ❑ Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes Article Number 7006 2760 0005 2242 5635 (Transfer from serviL c r,...... QQ1 i C,.k..,,,... nnnn n _., o ... n ----- -- -- ---- _