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• 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. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: a 1z 7 - - /�— ❑ Agent ❑ Addressee B. ' ed bled Name) C. Datt. of Delivery D. Is clUvery address different from Rem 1? y Yew If YES, enter delivery address below: D:No- 3. Service Type CT"Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7012 2210 0002 5703 4066 (Transfer from service label,__- 'S Form 3811, February 2004 Domestic Return Receipt ■ 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. i Attach this card to the back of the mailpiece, or on the front if space permits. t. Article Addressed to: 11 - �it(V% ��nZ� LfDr�M��fi1G 102595- 02- M-lsao A. Signature 161 r � ❑ Agent X ❑ Addressee B. Received by (Panted Name) I C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type l C}ified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes ?. Article Number 7012 2210 0002 5703 4042 (Transfer from service labeq 'S Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 . • I A