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■ Complete items 1, 2, and 3. Also complete <br />A. Si nSft <br />13 Agent <br />Item 4 if Restricted Delivery is desired. <br />X " <br />fill Print your name and address on the reverse <br />?, '--• C� <br />❑ Addresst <br />so that we can return the card to you. <br />4r. *Tre!t&ftd by Printed Name) C. Date of Delive <br />■ Attach this card to the back of the mailpiece, <br />! <br />"��` t <br />or on the front If space permits. <br />delive different from item 1? 13 Yes <br />1. Article Addressed to: <br />�, ES, ent ivery address below: <br />❑ No <br />r �. r. c- J C O <br />3. Service type <br />�n , • - <br />0-6ertifled Mail ❑ ,,Express Mail <br />4- 4 <br />❑ Registered Z Return Receipt for Marchand!: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 91 <br />710 8 213 3 3939 0 0 2 9 <br />414? <br />(Transfer from service /shag <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595- 02 -WI! <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 />��. C JJ� Xs �0 v0v <br />tt-��� n� Co. <br />r) <br />A. Signatyre <br />14 ❑Agent <br />X _ ❑ Address, <br />B. Received by (Printod Name) C. Date of Delive <br />I , -( , 77 i / /'/� -� <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se e Type <br />97kc rtified Mail Pp press Mail <br />❑ Registered U Return Receipt for Merchan& <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 0029 4369 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1: <br />