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2009(19503 <br />E IBIT A <br />(continued) <br />1, <br />^ Gomplete Items 1, 2, and 3. Also complete . signatur <br />~ Agent <br />jtem 4 if Restricted Delivery is desired. C~ addresses <br />~. Elf your name snd elddress on the retverse <br />~p-that we can return the card to y0u. ~, Racelved by Rrlnfsd Nem®)' C. pate of ~•Uv9ry <br />~, Atptch thi8 Card to tho back of the mallplece, <br />ar on th® front It apace permits.. <br />p. le dpllvery address diffgrerit from:tteln 1? D Yes <br />1. A1ftt¢Ip Addreasod to: If YES, ent®r delivcrY e~ddrese"b91ow: ©No <br /> <br /> ~' <br />~ <br />~ DAVID NALI, ~ <br />:~ : <br />, <br />~ PO BOX 17 '', ~ <br />~ GRAND ISLAND N)w 68802 <br />i 3; r~~ pc w v ~ , <br />_.. <br />Cert]f]ed Mall ~ Mall <br /> Registered ©Return Reo®Ipt for Merchandise <br /> ~ Insured Mall ©C.O.p. <br /> 4. Restricted pelivary7 (Extra Fee) Q Yes <br /> <br />_: <br />2: ArticlQyu{~kxej~ , ., .:t s3 ~ <br />- 7OQ8 '1g~[7 CJC1Q1 2S7CP ,9~5~ <br /> <br />~ <br />(1Yenafer from srrvlce lalaeq - -- -- <br />~ <br />I <br />PS Form.3811, February 2Q04 G?~ra~tlm Pl~"ro'A~.dpt ioa-sus-oa-nn•isao <br />4840-5442-7141.1 <br />