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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: l <br />PO <br />S U <'- <br />A. Signaty <br />X <br />El Agent <br />❑ Address <br />B. Recelyed by VPInted Name) I C. Date of Delive <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery���jJ�r@srff,l:qjow; ❑ No <br />3. Pvce Type <br />Certified Mail �a+t ibfaiJ. <br />❑ Registered etum -Receipt for Merchandi; <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 91 7108 2133 3939 0 0 2 9 4192 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -1; <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 />3 )- ��8 X,- rz ciZ <br />A. Signature ',! <br />/0 Agent <br />❑ Address <br />B Received bynted Name) C. Date of Delive <br />D. h( delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />EB-6ertified Mail ❑ EVress Mail <br />❑ Registered etum Receipt for Merchanclk <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 213 3 3939 317 9 5 613 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1'_ <br />