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I <br />mortified Mall 0 Expres -s Me" <br />E Registered .63- Return Receipt for Marchand <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra ree) 0 Yes <br />2. Article Number <br />(Transfer from service label) 1025 °5.02 -M -lW <br />PS Form 3811, February 2004 Domestic Return Receipt <br />ME• , :. <br />• <br />■Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. <br />• Print your name and addre -- on the reverse X 0 Agent <br />so that we can return the card to you. 0 A_�_ ddressee <br />■ Attach this card to the back of the mailpiece, B. Recely by (Primed Name) C. Date of Delivery <br />or on the front if space permits. <br />1. Article Addressusl to; D. Is delivery address diffemnt from t:em t? ❑ Yes <br />If YES, enter delivery address below: L7 No <br />Of <br />R.0 v v 31 3. F�ice Type <br />11J Certified Mail 0 Express Mail <br />0 Registered tMeturn Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />---- -- 4. stri <br />Rected Dolivery? (rxtra Fee) <br />2. Article Number - -- ❑ Yew <br />(rransier from service labeg 7012 3 4 6 0 <br />0001 <br />PS Form 3811, February 004 1548 3289 <br />ry Domestic Return Receipt <br />102505 02•M -1540 <br />