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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 />v 33 <br />A. Signature 1r— <br />Postal <br />❑ Agent <br />� <br />E3 Addressee <br />B�eceived' <br />ed ae) <br />(Prrn m <br />C. D to of Delivery <br />D. Is delivery address different,from item I I L-YYes <br />If YES, enter delivery address below: ❑ No <br />" ltx�lso') owt 0 ( <br />I OJ��G�►�t� C S 3 b 3. <br />2'ertified Mails ❑ 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 7014 0150 0000 9138 2 ?39 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Retum Receipt <br />Sent TO /� <br />ra - <br />------'- <br />Q Street, Apt. No.; �/ <br />or PO Box No. W .,_!_✓� ..... <br />"' °" <br />City State, ZIP +4 1 _I I /` � 7C <br />Postal <br />CERTIFIED MAIL,. RECEIPT <br />m <br />(Domestic <br />Provided) <br />r` <br />ru <br />ro <br />M <br />Postage: <br />$0.48 <br />Er <br />Certified Fee: <br />C3 <br />Return Receipt Fee: <br />L7 <br />R <br />E7 <br />(Endor1 <br />Total Postage & Fees: <br />Restr <br />$� <br />G f <br />Cl <br />(Endor, <br />G`0 <br />U-) <br />r-1 <br />Total Postage & Fees <br />$ <br />-- Ali <br />� <br />Sent TO /� <br />ra - <br />------'- <br />Q Street, Apt. No.; �/ <br />or PO Box No. W .,_!_✓� ..... <br />"' °" <br />City State, ZIP +4 1 _I I /` � 7C <br />