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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 t <br />JDJ D 3 <br />A. SiMAZ X j�l ❑ Agent <br />❑ Addressee <br />B. R � p iv�pd by (Printed Name) . Q3to of Delivery V V l t•Jl� (�M� ►l IC77 Z fi <br />D. Is delivery addrels d,Nerent from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />,.ETCerti red Mail ❑ Express Mail <br />❑ Registered .2- Return Receipt for Merchandise <br />❑ Insured Mail ❑ C,O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2, Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt re25�s•in•na•rsn� <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 />IN Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 Article Addressed to. <br />-' <br />/ /� // t� • Alc <br />6 dO <br />2. Article Number <br />(Transfer from servk;e label) <br />" ❑ Agent <br />❑ Addressee <br />B. Received by (PrfntedJ)f.Mb F, C. Qate of Delivery <br />D. Is delivery adclmf drtrerent �n item Yes <br />It YES. enter d I addre'ow: No <br />IL <br />N <br />3. Service Type <br />'�ttei d Mail ❑ Express Mail <br />❑ Registered fTT; &turn Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />PS Form 3811, February 2004 Domestic Return Receipt <br />m� <br />to 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 AddrHZsr d to: <br />102595.02 -WI540 <br />A. Si najdre t <br />1 ❑ Agent <br />Z Addre <br />B. Rec ved by ( Printed Name) to <br />D. Is delivery address different from .ten 17 -'0 Yes <br />If YES, enter delivery address below- ❑ No <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />❑ Registered 12-Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Dolivory? (Extra Fee) ❑ ves <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02•M -1540 <br />