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P2009 —002 <br />G(24 f i e-d Ma l <br />• Complete items 1, 2, and 3. Also complete A. SI <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. B. Rece ed by <br />• Attach this card to the back of the maiiplece, <br />or on the front If space permits. <br />1. Article Addressed yt�o: j <br />J I O �1�-A'tr�Vn <br />�� rJ1etA- ��A a V u.�►�je.,� W Ori� i� <br />f] Agent <br />' ❑ Addressee <br />C. <br />�X�� I17ery <br />D. Is delivery address different from item <br />If YES, enter delivery address below: <br />ara <br />13 No <br />3. Service 1 <br />❑ Certified Maltet>� rasa" <br />❑ Register ❑ Return AP�e for Merchandise <br />❑ Insured Mall ❑ Cottect dd Ifvsry <br />4. Restricted Delivery? (Extra Feel ❑ Yes <br />2. Article Number 7012 3460 0000 6385 0294 <br />mansfer from service /abeg <br />PS Form 3811, July 2013 Domestic Retum Receipt <br />gill <br />Ir <br />• <br />.- ,., <br />ti <br />° <br />Postage: <br />$0.48 <br />Ln <br />Certified Fee: <br />$3.30 4 <br />m <br />Return Receipt Fee: <br />$2.70 <br />.n <br />o <br />0 <br />Total Postage & Fees: <br />M <br />R6 ........ <br />(Endorsement Required) <br />N Here <br />C3 <br />M <br />Restricted Delivery Fee <br />(Endorsement Required) <br />N r• <br />(i N N <br />p <br />M <br />Total Postage $ Fees $ <br />4/ , <br />I'Ll <br />To� <br />j� Liar} a-==a-V..-- <br />- -= ---, ------ <br />[zPO Box No <br />Zip------------------------ <br />v°,� �o D <br />