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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 />L y� /V, G-r��� r. <br />I J z0 — ? —I.,_� <br />A. Signature <br />❑ Agent <br />X -' Vi ❑ Address <br />B. Received by (Printed Name) C. Date of Delive <br />A J� Y-j L• A, <br />D. Ifs delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />ffbertified Mail ❑ ress Mail <br />❑ Registered 113 "Return Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rransfer from service label) 91 ?108 2133 3939 0 0 2 9 4444 <br />PS Form 3811, February 2004 <br />Domestic Return Receipt <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 />C0� <br />102595- 02 -M-1: <br />Ate.rer� / %, ❑ Agent <br />❑ Address <br />B. Recc Printed Name) C. Date of Delive <br />iKelivery addAv dikerent from item 1? ❑ Yes <br />YES, enter delilpry lkdlress below: ❑ No <br />3. Ice Type <br />Certified Mail O �Jcpress Mail <br />❑ Registered ,/Retum Receipt for Marchand!; <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 0029 4222 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -t: <br />