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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 />I. Article Addressed to: <br />A ,, cd, 1) a 3 a c aZ <br />4Z4.- 3:ZiZd 4,260 <br />C 0, <br />& (5 ;Z, O <br />A. Signat4re <br />I <br />X / ❑ Agent <br />❑ Addresse <br />B. Racal d y (Printed Name) C. Date of Delivei <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. SeS lee Type <br />I� Certified Mail <br />❑ press Mail <br />13 Registered <br />Retum Receipt for Merchandis <br />❑ Insured Mail <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 2944 1805 <br />(Transfer from service label) <br />'S Form 3811, February 2004 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 />Al, "L Vi lla rfe,1 ! <br />424 — 3,2. Rd. —':F 3 <br />g I� <br />Z- C) <br />102595- 02 -M -15 <br />A. Sign rT <br />4Agent <br />X- ❑ Address <br />B. Recelyed by (Printed Name) C. Dater Deliv, <br />D. Is delivery address different from item 1? ❑yes <br />If YES, enter delivery address below: No <br />3. Service Type <br />B— Certified Mail ❑ Ex s Mail <br />❑ Registered atum 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 4406 <br />(rransfer from service labeO <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1 <br />