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• Complete items 1, 2, and 3. Also complete A. Signature _ <br />Rem 4 if Restricted Delivery is desired. t ; �: f _ /, ❑Agent <br />• Print your name and address on tie reverse X / t �ii' �1 '1 % �r " u� 62j ddressee <br />so that we can return the card ti, you. g68eceived by (Printed Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Is doe�Wery address different from item 1? 0 Yes <br />tJr• • . <br />1. Article Addressed to: delivery address below: ❑ No <br />TO' �. <br />9 I 19Ybd7�fi_fied Mail® ❑Priority Mail Express° <br />❑ Registered ❑ Return Receipt for Merchandise <br />0 Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 1820 2701 7230 7524 <br />(Transfer from service IabeQ — -- — - <br />Ps Form 3811, July 2013 Domestic Return Receipt <br />0 <br />0 <br />