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or I <br />C�r i fi -d Mcu' L <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 />• <br />ct�i�ls►,�)(� �r�5�, <br />A. Signature <br />X <br />Agent <br />9,Addressee <br />B. R ceived by P t d Name) <br />C. Date of Delivery <br />D. is delivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />3. Service Type <br />ertifled Mail ❑ Express Mail <br />* <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7012 3460 0000 6384 8222 <br />(]-Transfer from service iabeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02•M -1540 <br />Postal <br />CERTIFIED MAIL,,, RECEIPT <br />rru (Domestic Mail Only, No insurance Coverage Provided) <br />ru <br />CO <br />- Postage: <br />CID Certified Fee: IT t`v °°yy $0.48 <br />Return Receipt Ft e� aFs-$3.30 <br />`- 2.70 <br />0° Total Postage & Fees: <br />0 (En( C$6.48 <br />r3 Restrncted Delroery Fee <br />O f <br />(Endorsement Required) <br />.D <br />�- Total Postage &Fees <br />m <br />ru Sent To <br />,a -- ? u y^ <br />Street, Apt. No.; <br />C3 or PO Box No. <br />City, State, ZlP +4 - ----------- <br />L-11 Wd ) (0 y/05 2 <br />-PS Form 3800, August 2006 -structions <br />See Reverse for In <br />