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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 />rz C, )� r <br />Z <br />A. Signature �'% <br />❑ Agent <br />B. Received by (P' ted Name) C. ate of DelivE <br />D. Is delivery ddress different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />[Tbertified Mail ❑ Ex Mail <br />❑ Registered alum 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 ?108 2133 3939 317 9 5552 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -tt <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 />3zf-7 <br />U <br />A. nature '� .� <br />X �� } ( -B Agent <br />11 %. {1_,�L 's _ - -❑ Address <br />BeReceived by (Prfrpd Name) C. Cjate o Delivl <br />' "y; 14 UL r 1, <br />D. Is delivery address different from item 1? u Ye: <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />ITIrCertifled Mail ❑ Express Mail <br />❑ Registered 04fetum Receipt for Marchand <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />-le Number <br />service laben <br />`er from 91 7108 2133 3939 0029 4314 <br />3811, February 2004 Domestic Return Receipt 102595-02 -M-1 <br />