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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 />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />/)Ir- A j b""7f <br />' I Cl it., /A4 re- kA-5-), <br />4V <br />•M-15g7-o7/ <br />• 3 -3 /�f <br />¢V- i)RjtS <br />A ignature <br />X Agent <br />❑ Addressee <br />B U eceived y ( Printed Name) Date of Delivery <br />D. Is delivery address different from It m 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />ja Cerrtififled Mail ❑ Express Mail <br />❑ Registered P Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number / <br />(Transfer from service label) �� f < <br />PS Form 3811, February 2004 <br />Domestic Return Receipt 102595 -02 -M -1540 <br />,n <br />