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200909503 <br />E I YT A <br />4 Gomplet~ Items i, 2, and 3, Alao comp)®te_ Icnatun- , <br />' Item 4 if Restricted Delivwry is desired. X ~e~ ' <br />~: Print your name and +addres~ on the reverse 0 ~ <br />9D that We Ca11 r'etUrn the Card t0 you. ~ ved by (Printed Name) C. Date of C91111vt11y <br />Attach this Card to the back of th® mallplec®, <br />ace permits <br />r on the f <br />ont if a <br />r <br />p <br />, <br />q <br />d <br />©Ye <br /> P. Is delivfsry ad different from item 17 s <br />Y. Artlda Addressed tA: 1f Y.ES, ®ntgr c~~j ry addresr below: ^ No <br /> ~_. \., a <br /> <br />_ _i <br />~ I <br /> <br />NALL INC j <br />i ~ 12 RIVBRVIEW DRIVE <br />~ <br />~~ ''~ ~` # <br /> <br />` <br />PHILLIPS NE 68865. 3. ,~ rule®lype <br />ATTN pAV1D NALL <br />tertlfled Mall <br />^ F-~cpress Mell <br /> Registered ©Return Receipt for MerChandlse <br /> © Insured Mall D C.O.D. <br /> 4. R~ttioted,Dellvery7 (~'xtra F®6) D Yes 1 <br />;z: nrtla. Nu bed ;1 I <br />~ <br />o ~ ,yt . 1 ~ - <br />~ ~ ~ ~ ~ ~ ' p Q ~ as <br />~ ~I <br />~' S ~ 2 ' ~ ~L' I-{ ~ <br />J ' <br />(lYans/er fr <br />m SBrvICO u <br />Abv i <br />PS Form 3811., Fobruary 2804 [~cmerNo t4pturn Reoalpt ~aa9ae~oa•t~-16ao <br />^ Qompl~te Itsma 1 2, and 3. ,Also comP1etw A.' 8tgriatura <br />D Agent <br />Item 4 if Restricted Delivery la dealred. X <br />~'~~~ <br />^ Print yqur name .arid address qn the r~vers® <br />So th8t w4 can return the. card to yau: y. a Iv d b Pr! d Name) C. Date Of Ilva <br />w Attach this card to the back of.the mailpiece, ~ ~~-~~ <br />or on the front If space permits. <br />D. le-d®Ilvery address different frpm Item 17 Yes <br />'t, NtiG~ Addressed to: ; L,7 No , <br />w <br />e <br />l <br />o <br />lvery addre9p b <br />enter d <br />®I <br />If YES <br />, <br /> ~ <br />r <br />~ <br />^ <br />y <br />~ <br />- <br />n <br />t <br /> .~ f ~ (~/ ~ V~* <br />JILL NALL <br />112 RIVGRV - E <br />] NC G886S 3. Syyvlce Type <br /> rV~~i Certified Mail ^ Express Mall <br /> © Ftepiatere~l ^ Retum R®calpt for Merchandise , i. <br /> LQ Inegred Mall ['~ C.Q.D. ;( <br />__ <br />4. Retitrictad. G®Ilvery7 ,~ Fee) ©Yeis <br />2. <br />~~ bA'l~il~'!l di ~ ii ~~Qt~ <br />.,_ - ---- <br />~8~~ ~~~~ ~~~~ ~:~~~ , <br />1 <br />f .. <br />PS ,Form 3$11, Fe4ruary 2004 _ t~ 1Tte4ura~ ReC91~t _~ ~ tozge~-oz M~+Sao ~~ <br />r <br />4840-5442-7141.1 <br />