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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 />PaLt j M «i Ian de r <br />001y oKz l CO PO-).3q <br />2. Article Number <br />(Transfer from service label} <br />A. <br />X <br />❑ Agent <br />eceived by (PCinteel Aame) C. Date of Delivery <br />i-uA LkO-k \ O-fir f _ -(S <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />,I Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />7014 0510 0001 4448 0618 <br />PS Form 3811, July 2013 Domestic Return Receipt <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 />ds HWY <br />❑ Yes <br />1:1 Agent <br />l�� �J �L/ ❑ Addressee <br />by (Printed Nam )' 1 C. Date of Delivery <br />f-D <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Hj f y I 3. S rvice Type <br />Certified <br />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 ?014 0 510 0001 4 4 4 8 057`1 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Y1 8 6 UJI Yip- T-'s <br />4 r 61ai'e / /)I f <br />