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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 maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />c b/ <br />t�o��SZ. <br />A. Sign re N t' <br />/f C3 Agent <br />,T! n Addrsss <br />B. Aecelved by (Printed Nam _ . Date"pfDelive <br />D. Is delivery address different from i%m 17 - <br />If YES, enter delivery address below: ' <br />3. Serve Type <br />L'3 Certified Mail 0,Express Mail <br />❑ Registered Return Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number- 91 7108 2133 3939 0029 4086 <br />(rmnsfer from service labeq <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 maiipiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />C�r.� JlJ i�I,�Ccwc��+b�s�r1� <br />'/-) <br />+ <br />C +^ +�r�� p� <br />pC <br />A. Signature <br />X ) ,� ❑ Agent <br />❑ Address( <br />B. Received by (Painted Name) C. Date of Delive <br />D. Is delivery addr different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />IRCertified Mail ❑ I,xpress Mail <br />❑ Registered CeRetum Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. (trans rfrom 91 7108 2133 3939 3179 5583 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02 -M -1: <br />