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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 to: <br />M.SQ GJ,,N t� �G r•r� <br />cj:�OC �p,A►+tis51C>r�CS <br />�b & acc lx� <br />G(-04 U rI C-i Vn ) Wo <br />Y tso <br />A. Signature <br />X O Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />P CertHied Mail 0 Express Meil <br />❑ Registered' .0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. ArtldeNumber 7006 0100 0005 2537 9355 <br />(Transfer from service Label) <br />PS Form 3811, February 2004 Domestic Return Receipt 702595.0244-t 540 <br />Postal <br />Ln <br />Ln <br />CERTIFIED MAIL. RECEIPT <br />M Ln <br />rri <br />In <br />M <br />(Domestic Mail Only; No Insurance Coverage Provfded) <br />D, <br />Er <br />'�- r <br />r- <br />m <br />m <br />ury <br />In <br />ru <br />ru <br />Pos ege <br />ill <br />0 <br />V'1 <br />ED <br />Certified Fee <br />° <br />° <br />° <br />Q <br />Postmark <br />Return Receipt Fee Here <br />(Endorsemont Required) <br />O <br />° <br />Restricted Delivery Fee <br />a <br />° <br />(Endorsement Required) <br />r� <br />_ 0 <br />° <br />° <br />Total Postage &Fees <br />° <br />° <br />Sent o <br />or PO Box Au. r <br />Stato. ZlR+4 VCW z zkw�- tr t*1 U 5 U <br />PS Form 3800, June 2M2 See Revcrse for Instructions <br />