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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. X <br />• Print your name and address on the Verse <br />so that we can return the card to yo <br />■ Attach this card to the back of them iece, <br />or on the front if space permits. F <br />1. Article Addressed to: <br />N� �2i�p � ,s <br />W173 CW A <br />%c) 106 a I <br />D. Is <br />If <br />Micu, <br />I <br />❑ Agent <br />3d-by (Printed Name) C. Date of DE <br />1 <br />•� -,.t I -r <br />, y address different from item 1? ❑ Yes <br />enter delivery address below: ❑ No <br />3. Sere' Type <br />Postal <br />Iff Certified Mail® <br />❑ Priority Mail Express' <br />❑ Registered <br />❑ Return Receipt for Merchandise <br />❑ Insured Mail <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 70 ,2 3460, 0000 6385 3073 <br />(transfer from service iabeq <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAIL-r. RECEIPT <br />'' • <br />E3 <br />m <br />�— <br />' <br />L <br />$0.48 <br />n <br />Postage: <br />$3.30 <br />Co <br />Certified Fee: <br />$2.70 <br />-0 <br />Return Receipt Fee: <br />0 <br />C3 <br />Re Total Postage & Fees: <br />8 <br />O <br />C3 <br />(Endors r <br />, <br />a <br />O <br />Restricted Delivery Fee <br />(Endorsement Required) <br />fi <br />—r <br />Total Postage & Fees <br />M <br />rU <br />Sent To <br />---- --- --------- <br />r—1 <br />--- ... -- -Q- - - -- ----------------------------------- <br />Street, Apt. No.; J,- <br />or PO Box No. `� {) <br />-------------------- --- - -- -- <br />- <br />R <br />City, State, ZlP +4 . <br />I <br />- -""° -- - - - -- <br />-- --- -- <br />�lv a <br />:rr r,. <br />See Reverse for Instructions <br />