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Total Postage & Fees
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EXHIBIT
Postmark
Here
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fil(l'\5\,
• • • • •
■
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery
is
desired.
■.
Print your name and address on the reverse
so
that we can return the card
to
you.
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11
Attach this card
to
the
back
of
the mailplece,
-or
on
the
fron_t
if space permits.
1.
Article Addressed to:
Postage
$
Certified Fee
Return
Receipt
Fee
(Endorsement
Required)
Restricted
De!!vefY
Fee
(Endorsement
Required)
Total
Postage & Fees $
COMPLETE THIS SECTION ON DELIVERY
. ' '
D.
Is
del!very
address
different
from
Item
1?
If
YES, enter delivery address below:
3,
Se~Type
&Y'"Certified
Mall
□
~ressMall
Postmark
Here
□
Registered
□ Insured Mall
~etum
Receipt for Merchandise
□
C.0.D.
4. Restricted Delivery?
(Extra
Fee)
□
Yes
2. Article Number
(Transfer
from
seIVlce
label}
7
□□
6
345
□
□□□□
1757
6 □
36
PS
Form
3811,
February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION• ,
■
Complete Items 1, 2, arid 3. Also complete
item 4
ff
Restricted Delivery Is desired.
II Print
;Our
name and address
on
the reverse
so
that
we
can return the card
to
you.
■
Attacr-'his
card
to
the back
of
the mailplece,
on:>n
the front if space permits.
1.
Art!cle Addressed to:
"B"fi~~~
12.ocis
s~,+
GKt.a..
Cev«\l.j
\\:\\'S.,
d\~D').\i)
D.
Is
de!!very
address
different
from
Item
1?
If
YES,
enter delivery address below:
3.
Se~eType
ttY'"Certlfied
Mail
□
Registered
□ Insured Mall
□
!;)<press
Mall •
w1ietum
Receipt
for
Merchandise
□
C.0.D.
4.
Restricted
Delfvery?
(Extra
Fee)
□
Yes
2. Article Number
(Tra.nsterfrom
seIVfce
label}
7
□□
6
345
□
□□□□
1757
6 □
74
PS
form
::)811, February 2004 Domestic Return Receipt 102595-02-M•
1540
