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'1V - c3 <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 />l q 15 N 51c �S <br />F , (oq,hs , Co 6,05,)q <br />A. <br />f ❑ Agent <br />X ❑ Addressee <br />B., Rec ived by (Printed'Na�e) C. Date of Delivery <br />, vim S /7" f t'- -'114 <br />D. Is delivery address different from item 1? CJ Yea <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />W Certified Mail ® Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number r <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />077- 3a2 <br />r <br />