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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: 1 <br />G I / 1 Teel �Xj 017E'r i'--1I-, 4,,e t <br />S) 0 34 IZ� <br />G f , - -t.- r?) C- 0 <br />5 ,x C) <br />A. ?iynatunk., <br />❑ Agent <br />X r��t, ,,� e✓ h "LA-A. ❑ Addresso <br />�IBJJ. Received by (Printed Name) C. Date of Delive <br />fNC if', a'\ <br />D. Is delivery address different from item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />STertified Mail ❑ press Mail <br />El Registered Retum Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 317 9 5668 <br />(Transfer from service label) <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 />4243').izC4,#3sQ <br />Ca. <br />2. Article Number <br />(Transfer from service label) <br />7. ph4 by (Printed Name) C. <br />i- t-�T(i%iC. , <br />D. Is delivery address different from item 1 <br />If YES, enter delivery address below: <br />102595-02 -M -1: <br />❑ Agent <br />❑ Addresse <br />/ � f De' ei <br />//❑ WS <br />❑ No <br />3. Seoce Type <br />iff Certified Mail ress Mail <br />❑ Registered alum Recelpt for Merchan& <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />91 7108 2133 3939 2944 1898 <br />'S Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -15 <br />