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■ Complete Items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />■ <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 Addrossod to,: <br />2. Article Number <br />(I tEnsfer from service label) <br />A. Signature <br />X <br />❑ Agent <br />S❑ <br />Addressee <br />B. Received W-Pall"I'Namel <br />C. Date of Delivery <br />D. Is ddress Ift&nt from item 17 <br />❑ Yes <br />I <br />F411 er delivery aiidrecs below: <br />❑ No <br />, ?8 X01 3, <br />3. Service Type <br />'ET7ertified Mall ❑ Express Mal <br />❑ Reg °stared .— a,Return Receipt for Merchandise <br />_❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Foe) <br />❑ Yes <br />PS 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. Arts le Addressed to: <br />44- U-) <br />2. Artocle Number <br />(frarsfer from service label) <br />A. <br />102595.02•M•1540 <br />�8y.w+Gwr,•a <br />❑ Agent <br />❑ Addressee <br />B. Rece)OW by ( Printed (`lame) �' J .")o�Y <br />D. Is delivery address diffmont from Item 1? ❑ Yes <br />If YES, enter delivery aderess below: ❑ No <br />3. Service Type <br />®"Cert+tied Mad ❑ Express Mal <br />❑ Reg stered $fletum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4, Restricted Delivery? (Extra Foe) ❑ Yes <br />PS Form 3811, February 2004 Domestic Return Receipt <br />)mplete items 1, 2, and 3. Also complete <br />tm 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 />JOfJI1 �CL/'�SC � ) <br />! <br />2 Article Number <br />(Transfer from service label) <br />1 0259 5 -02 -M -1540 <br />A. S :Ure <br />❑ Agent <br />❑ Addressee <br />B. Received by (Ported Name) F1tePLDelivory <br />t0 ?P--% <br />0. Is delivey address different frcm item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />❑ Registered §R�teturn Rece pt for Merchandise <br />❑ Insured Mail ❑ C -O.D. <br />4. Restricted De.ivery? (Extra Fee) ❑ Yes <br />PS Form 3811, February 2004 Domestic Return Receipt 10259502-M•1540 <br />