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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 />�vaiv '2, 1 N, la? i <br />.101S PAI G r <br />Z/ JAI <br />A. Signature <br />X I� La t w 16" utA-, ❑ Agent <br />1KAddressee <br />B. Received by ed C. Date of Deli ery <br />D. Is delivery address d ttt 1? ❑ Yes <br />If YES, enter delivery addres ' 4' '" ❑ No <br />IWI x <br />6 ?�71� <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 0460 0001 2315 7394 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />N 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 />�' C. <br />2 2 ��' s s��,�•�r st, <br />A. Signature p <br />XZ, :Agent <br />Addressee <br />B. Received by( nted Name) C. Date of Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery add .below: ❑ No <br />19 eAV 3. 7Cartffied <br />/� / ail ❑ Express Mail <br />❑ Return Rec eipt for Merchandise <br />il ❑ C.O.D. <br />4. livery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 012 3460 0 0 01 2 315 7387 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <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 />A. Signature <br />� `TJ ❑Agent <br />❑ Addressee <br />B. Received by (Printed Name) 10. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, eater delivery address below: ❑ No <br />3. Service Type <br />I Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />171 Incilred Mail ❑ C.O.D. <br />