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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 />Samuel Daisley <br />Capital One N.A. <br />Letters of Credit Dept. <br />1001 Avenue of the Americas <br />New York, NY 10018 <br />I� <br />A. Sig ature �� <br />X El Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />ES Certified Mail ❑ Express Mail <br />❑ Registered ❑ 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 labeo 7 011 3500 0 0 0 2 9607 5 0 8 0 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />-. (Domestic Mail C <br />10 <br />r- <br />C3 Postage: $0.46 <br />I' Certified Fee: $3.10 <br />ru Return Receipt Fee: $2.55 <br />EM mark <br />C3 re <br />a Total Postage & Fees: $6.11 <br />C3 <br />M <br />Ln Total Postage & Fees <br />m E. <br />,q Sent To E. Samuel Daisley <br />'a - Capital One N.A. �' - <br />C3 Street, Apt. °" ''' <br />r- or PO Box 1 Letters of Credit Dept. <br />- - - -- <br />- -- <br />City, State,. 1001 Avenue of the Americas <br />New York, NY 10018 , <br />