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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 />ts z o <br />❑ Agent <br />Received by (Printed Name) / I C. <br />D. Is delivery address different from Reef i? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Ser)dce Type <br />Eff Certified Mail PPpress Mail <br />❑ Registered RL Return Receipt for Merchand <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 213 3 3939 2 9 4 4 1812 <br />(transfer from service labeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -1 <br />SECTION SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. ❑ Agent <br />X <br />• Print your name and address on the reverse C cp,� ❑ Address <br />so that we can return the card to you. B. Keceived by (Printed Name) C. Date of DeIN <br />• Attach this card to the back of the mailpiece, , <br />or on the front if space permits. 1 <br />1. Article Addressed to: <br />/J rQSncit, Cmnn ,A.ni t 3�tiC+ <br />l7 r cL�d �uY.k I iay, C� <br />gi �C�S <br />D. Is delivery address ci ferent from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. E <br />rVce Type <br />Lff Certfed Mail ❑ E5press Mail <br />❑ Registered Eveturn Receipt for Marchand <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Deliver)? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 91 7108 2133 3939 317 9 5675 <br />Transfer from service labeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M-1 <br />