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M <br />- <br />.. <br />ra <br />ut <br />Fi{1 MCM CO -80116 <br />Postage <br />$ <br />:0.70 <br />'VIA]% <br />M <br />rtJ <br />Certified Fee <br />.rte <br />to <br />AN <br />C3 <br />C3 <br />Return Receipt Fee <br />(Endorsement Required) <br />Q.7O <br />Postmark <br />Here <br />E3 <br />n <br />p <br />Restricted Delivery Fee <br />(Endorsement Required) <br />$0.00 <br />N <br />Er <br />M <br />Total Postage & Fees <br />$ <br />S6,70 <br />Sent To <br />rq <br />C3 L- ____�".' <br />O Street &Apt IV <br />f� or PO Box No. ?0 - a 0 <br />Crty, State, ZIP +4 <br />PS Form 3800, July 2014 See Reverse for Instructions <br />• C =plete 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. Signatu� � <br />X ❑ Agent <br />�!� ❑ Addressee <br />B. R ed by (P Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mall® ❑ Priority Mail Express - <br />Cl Registered ❑ Return Receipt for Merchandise <br />�j Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 3490 0002 3245 8473 <br />(rransfer from service /abet] <br />Ps f=orm 3811, July 2013 Domestic Return Receipt <br />