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• Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />&erR. I;/r4 D i Yn.!- G <br />4 2 C4- - 3 2 3ti'a . -t" P- "? 0 <br />C I r �U ill C <br />81SZO —953.2, <br />A. Signature <br />X I� Arent <br />•� ' ' '��i:. ' AVkddressE <br />r <br />B. Received by (&(nted Name) Y C. Date of Delivei <br />D. Is deliv;y address dgr ent from keem 1 T ❑ Yes <br />If YES, enter delivery address below: 1 No <br />3. Service Type <br />11116ertified Mail .9- Express Mail <br />❑ Registered l]`(�1Return Receipt for Merchandis <br />❑Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 710 8 213 3 3939 2 9 4 4 1850 <br />(Transfer from service label) <br />�S Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -15 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />A. Signatu <br />^s ❑ Agent <br />X t- (Ni �^-�- ❑ Addressi <br />B. Recelv (Printed Name) C. Date of Delive <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />LTTr,erti ied Mail ❑0 Express Mail <br />[3 Registered etum Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />91 7108 2133 3939 0029 4420 <br />Domestic Return Receipt <br />102595-02 -M -1 E <br />