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Postal Service,,, <br /> CERTIFIED MAIL,,, RECEIPT <br /> (Domesffc Mail Only;No Insurance Coverage Provided) <br /> tr <br /> mFor delivery <br /> rJ� information;� <br /> Cr" Postage i <br /> [rr IF <br /> O <br /> Coftified Fee <br /> ' Ir 1,ioHe"fV <br /> Po <br /> C3 Return Receipt Fee , Vj <br /> © (Endorsement Required) ?'�-•74 <br /> 1171 RestrlctedDeliveryFee r,f}.;}� �~ . <br /> 0 (EndorsementRequired) <br /> M,a yy 3.�,„,, <br /> Total Postage&Fees $ t R'4?/�i:s? i <br /> ru �� <br /> Q ;Street Apt No.:-xPO BOX <br /> Na <br /> City,Stets,ZlR+4 <br /> SENDER:COMPLETE THIS SECTION COMPLETE FHIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A Signstut <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse p Addressee <br /> so that we can return the card to you. B. R by tinted�) C.Pate of Delivery■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. �.Iti<rT� db <br /> I. Article Addressed to: D. is dellvery address diNerertt flan iterrt 1 ❑Yes <br /> if YES,enter delivery address below: ❑No <br /> U . S- au reAlk a� Ana <br /> Nlan.�y�rr,ent _ <br /> �r Je e e t 3. Service Type <br /> 1} <br /> tn�a✓le it n 0 9j&41 <br /> - (26 517 ❑Certified Mail" 0 Priority Mail Express- <br /> /` l ❑Registered 0 Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?()ftra Fee) p Yes <br /> 2. Article Number <br /> (transfer from service/abeq 7 013 2630 0000 5961 7398 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />