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(Domestic Only; <br />Er <br />r%-- <br />ru For delivery '--� information I C �I A L <br />M $0.69 <br />rq <br />,CS S F 3.30 <br />Cr �' Postage: A�; <br />E3 Certified Fee: $x.70 <br />Rs Return Receipt Fee; { <br />O '�i 9 <br />(Endora (�, . <br />Restric e 8, Fe <br />O (Endors Total postage )off <br />Lr l <br />O Total Postage & Fees <br />Sent To CtC.Ii��PS �s �l ... - ._.. .... �. <br />(�----- - - - - -- <br />.. <br />o S----- <br />-------- heet, .; <br />or PO Box No (� <br />a - f-------------------- <br />Ciry, State, ZIP +4 f y �v ( a <br />Ir <br />■Complete items 1, 2, and 3. Also complete A <br />A. Signature <br />B. eceived b ) <br />or on the front if space permits. <br />1. Article Addressed to: D <br />D. Is delive ddress different from item <br />1 i <br />if YES, ter deliv ddress below: <br />S <br />1 U <br />�v i00 , <br />gor-ll- o0 <br />* �/- /0 - /�( <br />❑ Agent <br />❑ Addressee <br />tte of Delivery <br />3. Service Typ <br />CO 9)CDgO XCertifiedMa orityMall ess- <br />2. Article Number <br />(Transfer from service labeo <br />PS Form 3811, July 2013 <br />❑ Registered eipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 0150 0000 9138 2791 <br />Domestic Return Receipt <br />