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Postage $
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C7 $ Q Certified Fee
Postage
Ln ,,jj �t'• 'r° Return Reciept Fee PostmaEK' i
C3 Certified Feel i (Endorsement Required) Here t t
Q D r +'��ostmark, 1 O ( i
Here `D Restricted Delivery Fee
Return Reciept Fee i 'ij (Endorsement Required) 1
(Endorsement Required)
_p Restricted Delivery Fee Total Postage&Fees $
rq (Endorsement Required) did
rR Sent To
Total Postage&Fee $
�j C3 George Smarz
�
Street,Apt. ---:------°
C3 I Primrose Path-----------------------------
o Sent To George Smarz or PC Box No.
---------------- -
- - City,State,ZIP:4
Street,-Apt.rvo.;•°------ Hatfield MA 01038
or PO Box No. 1 Primrose Path
- - Hattf field :r r e -
C:fy,State,ZlP+4 010 - -
COMPLETE •N COMPLE SECTION ON
• Complete items 1,2,and 3.Also complete A. Sign ture
item 4 if Restricted Delivery Is desired. X 0 Agent
• Print your name and address on the reverse ❑Addressee
so that 0 can return the card to you. f3. Received by(Prinfed Name) C. ate of Delivery
• Attach thi card to the back of the mailpiece
or an the front if space permits, j?--/75
D. Is delivery address different from item 17 0 Yes
1� Article Addressed to: If YES,enter delivery address below: 0 No
George Smarz
I Primrose Path
Hatfield, MA 01038
3. Service Type
0 Certified Mail 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from se 7004 1160 0005 0270 9158
i PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M•1540
COMPLETE • a SECT-ION
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. El Agent
• Print your name and address on the reverse X & U'"Ca1) ❑Addressee
so that we can return the card to you. B. Received by(Anted Name) C. ate of Delivery
• Attach this card to the back of the mailpiece, _
or on the front if space permits. d's)'L' ,
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
George Smarz
1 Primrose Path
Hatfieid MA 01038
3. Service Type
❑Certified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from see 7004 1160 0005 0270 9121
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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