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M [�C- <br />Lr�i -ried Mc-i I <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 />54t'l YOtr.n S*" I d vi I 6iAV.4 <br />d b Uert Cres -f A I ire <br />A-pt: mt' be. e % P -jfer <br />P.I0. r—,..x //$O <br />CO 9747-0 <br />A. <br />B. R ceived by (Printe ame) C. Date of DeW ry <br />D. Is de— liv re If,from item 1? Yes <br />If YES, VIT iv ry dress below: ❑ No <br />R LIM t c o 30�-12 <br />3. SeryWType <br />Certified Mail® ❑Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 0973 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />M <br />N <br />(Domestic <br />° <br />$0.48 <br />LrPostage: <br />$3.30 <br />ccCertified Fee: <br />$;,70 <br />UReturn Receipt Fee: <br />T <br />v i��� <br />°Total Postage &Fees: <br />$6.48 ,iNhark <br />C3 <br />0 <br />tip's <br />Restricted Delivery Fee <br />C3 (Endorsement Required) <br />Total Postage & Fees <br />M <br />$ <br />a <br />Sent To / a V'� <br />!%faleycC d GT % <br />0 <br />or PO Box No. ; GY►+4..� <br />� Q�' <br />r%- <br />- ----------------------------- <br />City, State, ZIP +4 ' 0 . dX <br />%g'c 0 0'f 2 A <br />GV <br />4 tai <br />C.. <br />PS Form :r0 August 2006 <br />See Reverse for Inst <br />