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■ 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 />t ■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Co��rt� -� Mere Rub <br />go(Ak <br />A. Signature <br />13 Agent <br />X ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No I <br />I <br />i <br />i <br />3. Service Type <br />1$ Corded Mail <br />O Express Mau <br />o Registered <br />O Return Receipt for Merchandise <br />❑ Insured Mail <br />E3 C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 f <br />-- <br />Ln <br />ut <br />r- <br />ru <br />M <br />M <br />CO <br />C3 <br />C3 <br />C3 <br />C3 <br />C3 <br />..0 <br />S <br />M <br />nJ <br />r9 <br />C3 <br />r%- <br />.�� <br />(Domestic • :. • Providedl <br />Ln <br />U-) <br />eras, r'- <br />D- <br />Fo delivery information visit our website at www.usps.coM, <br />"r'� <br />OFFICIA-L USE <br />ru <br />ru <br />m <br />m <br />M <br />m <br />Postage $ <br />� - CO <br />CO <br />O <br />C3 <br />Certlfied Fee <br />C3 <br />M C3 <br />C3 <br />C3 <br />Postmark <br />Retum Receipt Fee <br />(Endorsement Required) Here <br />O <br />C3 <br />D <br />O <br />r <br />Endorse Required) <br />.A <br />= <br />'rota, Postage & Fees <br />m <br />M <br />nJ <br />r a <br />..��� C3 <br />r%- <br />ru rq <br />o <br />r%- <br />nt o <br />iZZ.� N •� <br />or f! Box No. l_..l.� <br />City, State, Ztf44 "" -----.1\!. <br />